Intimal pulmonary artery sarcoma presenting as dyspnea: case report

We report a case of pulmonary sarcoma which is a rare cause of the common symptom of dyspnea. A fifty-one year old previously healthy male presented to the emergency room with complaints of dyspnea on exertion. A cardiac workup including an exercise stress test was negative but an echocardiography s...

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Bibliographic Details
Published in:International seminars in surgical oncology 2007-06, Vol.4 (14), p.14-14, Article 14
Main Authors: Hsing, Jeff M, Thakkar, Snehal G, Borden, Ernest C, Budd, George T
Format: Article
Language:English
Subjects:
Care and treatment
Case studies
Diagnosis
Prognosis
Risk factors
Sarcoma
Shortness of breath
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Summary:We report a case of pulmonary sarcoma which is a rare cause of the common symptom of dyspnea. A fifty-one year old previously healthy male presented to the emergency room with complaints of dyspnea on exertion. A cardiac workup including an exercise stress test was negative but an echocardiography showed pulmonary stenosis. Cardiac MRI showed a large mass extending from the pulmonic valve to both the right and left pulmonary arteries suggestive of sarcoma. A complete resection and repair of the pulmonary artery was done and adjuvant chemotherapy with doxorubicin and ifosfamide was recommended. The patient is currently disease free after eighteen months. Pulmonary artery sarcomas are a difficult diagnosis. The diagnosis may remain elusive for some time until the proper imaging techniques are utilized to make a diagnosis. Earlier and accurate diagnosis may lead to earlier interventions and improve survival.
ISSN:1477-7800
1477-7800
DOI:10.1186/1477-7800-4-14