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A case of pulmonary artery intimal sarcoma diagnosed with multislice CT scan with 3D reconstruction

Authors
 Eui Young Choi  ;  Young Won Yoon  ;  Hyun Seung Kim  ;  Tae Hoon Kim  ;  Ja Seung Koo  ;  Yoo Sun Hong  ;  Byung Eun Park  ;  Dongsoo Kim  ;  Hyuck Moon Kwon 
Citation
 YONSEI MEDICAL JOURNAL, Vol.45(3) : 547-551, 2004 
Journal Title
YONSEI MEDICAL JOURNAL
ISSN
 0513-5796 
Issue Date
2004
MeSH
Diagnosis, Differential ; Echocardiography ; Female ; Humans ; Imaging, Three-Dimensional ; Middle Aged ; Pulmonary Artery/diagnostic imaging* ; Pulmonary Artery/pathology ; Sarcoma/diagnostic imaging* ; Sarcoma/pathology ; Tomography, X-Ray Computed/methods* ; Tunica Intima/diagnostic imaging ; Tunica Intima/pathology ; Vascular Neoplasms/diagnostic imaging* ; Vascular Neoplasms/pathology
Keywords
Pulmonary artery intimal sarcoma ; helical CT with 3D reconstruction ; echocardiography
Abstract
Pulmonary artery intimal sarcoma is a rare highly lethal disease, with additional retrograde extension to pulmonic valve and right ventricle being an extremely rare condition. It is frequently mistaken for pulmonary thromboembolism. We report a case of 64-year-old woman with progressive dyspnea initially suspected and treated for pulmonary thromboembolism. Her helical chest CT scan with 3 dimensional (3D) reconstruction combined with echocardiography revealed a compacting main pulmonary artery mass extending to the right ventricular outflow tract and the right pulmonary artery. After excision of the mass, the patient's condition improved dramatically, and the pathologic findings revealed pulmonary intimal sarcoma. This report emphasizes that helical chest CT with 3D reconstruction can be an important tool to differentiate the characteristics of pulmonary artery lesions, such as intimal sarcoma and thromboembolism.
Files in This Item:
T200401703.pdf Download
DOI
10.3349/ymj.2004.45.3.547
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Pathology (병리학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Koo, Ja Seung(구자승) ORCID logo https://orcid.org/0000-0003-4546-4709
Kwon, Hyuck Moon(권혁문) ORCID logo https://orcid.org/0000-0001-9901-5015
Kim, Tae Hoon(김태훈) ORCID logo https://orcid.org/0000-0003-3598-2529
Yoon, Young Won(윤영원) ORCID logo https://orcid.org/0000-0002-0907-0350
Choi, Eui Young(최의영) ORCID logo https://orcid.org/0000-0003-3732-0190
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/112770
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