Rare pulmonary embolism in a pregnant patient: A primary diffused pulmonary artery myxofibrosarcoma case report

A 37-year-old female patient presented with shortness of breath, cough, and chest pain complaints from the 12th week of her first pregnancy. At the 28th week, labor induction had to be performed because of severe dyspnea and hyoxemia. Thereafter, a diffused pulmonary embolism was detected by echocar...

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Bibliographic Details
Published in:Frontiers in oncology 2022-08, Vol.12
Main Authors: Xiang, Kanghui, Liu, Lu, Li, Hui-Jun, Zhang, Guang-Wei
Format: Article
Language:English
Subjects:
ECMO - extracorporeal membrane oxygenation
low-grade myxofibrosarcoma
Oncology
operation
pregnancy
pulmonary embolism
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Summary:A 37-year-old female patient presented with shortness of breath, cough, and chest pain complaints from the 12th week of her first pregnancy. At the 28th week, labor induction had to be performed because of severe dyspnea and hyoxemia. Thereafter, a diffused pulmonary embolism was detected by echocardiography and CT angiography, without histological diagnosis. Pulmonary endarterectomy was performed, and it was found during operation that a huge, lobular mass originated in the posterior wall and extended throughout the vasculature of both lungs, and a mucinous pellicle covered the entire pulmonary endothelium. Pathology revealed a low-grade myxofibrosarcoma with positive vimentin and SMA, partially positive CD-34.
ISSN:2234-943X
2234-943X
DOI:10.3389/fonc.2022.956236