Pulmonary artery sarcoma diagnosed by endobronchial ultrasound-guided transbronchial needle aspiration

Pulmonary artery sarcoma is a rare disease with poor prognosis that has not been reported in Hong Kong. Its clinical and radiological presentation frequently mimics pulmonary embolism. Diagnosis is usually delayed until surgery, which is the treatment option that provides the best survival. Endobron...

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Bibliographic Details
Published in:Hong Kong medical journal = Xianggang yi xue za zhi 2014-04, Vol.20 (2), p.152-155
Main Authors: Chan, Johnny W M, Chu, Stephanie Y Y, Lam, Connie H K, O, W H, Cheung, O Y, Kwan, T L, Leung, Alex K C, Law, W L
Format: Article
Language:English
Subjects:
Aged
Autopsies
Biopsy, Fine-Needle - methods
Bronchoscopy
Chemotherapy
Dyspnea
Endoscopy
Female
Humans
Magnetic resonance imaging
Medical imaging
Medical prognosis
Patients
Pulmonary arteries
Pulmonary Artery - pathology
Pulmonary hypertension
Sarcoma
Sarcoma - pathology
Surgery
Tomography
Ultrasonic imaging
Ultrasonography, Interventional
Vascular Neoplasms - pathology
Veins & arteries
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Summary:Pulmonary artery sarcoma is a rare disease with poor prognosis that has not been reported in Hong Kong. Its clinical and radiological presentation frequently mimics pulmonary embolism. Diagnosis is usually delayed until surgery, which is the treatment option that provides the best survival. Endobronchial ultrasound-guided transbronchial needle aspiration is an effective non-surgical technique for lymph node staging of lung cancer and diagnosis of mediastinal lesions via bronchoscopy. Here we discuss a case of pulmonary artery sarcoma diagnosed by this method, the second one in the literature, which serves to illustrate its potential use for early and minimally invasive diagnosis of the condition. Although such aspiration is a safe procedure, tissue sampling of extravascular extensions is advisable wherever possible.
ISSN:1024-2708
2226-8707
DOI:10.12809/hkmj133942