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Indian Journal of Cancer
Medknow Publications on behalf of Indian Cancer Society
ISSN: 0019-509X
EISSN: 0019-509X
Vol. 45, No. 1, 2008, pp. 27-29
Bioline Code: cn08006
Full paper language: English
Document type: Case Report
Document available free of charge

Indian Journal of Cancer, Vol. 45, No. 1, 2008, pp. 27-29

 en Pulmonary artery sarcoma mimicking a pulmonary embolism
Sandhu, A.; Yates, T.J. & Kuriakose, P.

Abstract

Sarcomas involving the lung are a rare occurrence, often a result of metastatic disease from primary malignancies involving the skin, liver, breast or heart. Primary pulmonary artery sarcomas are rarer still, with limited cases reported world-wide and consequently data regarding treatment modalities are sparse and largely experimental. These tumors are often mistaken for a pulmonary embolism and seemingly supported by radiological findings. Patients will often present without symptom resolution despite therapeutic anticoagulation. The following case illustrates how a soft tissue sarcoma of the pulmonary artery can mimic a pulmonary embolism, thus, resulting in both a diagnostic and therapeutic dilemma. A positron emission tomography scan was an invaluable tool in this case, showing increased radiotracer uptake and placing neoplasm at the top of the differential diagnosis. This ultimately led to a biopsy that was vimentin positive, cytokeratin negative and CD117 negative, thus consistent with soft tissue sarcoma.

Keywords
Positron emission tomography, pulmonary embolism, sarcoma

 
© Copyright 2008 Indian Journal of Cancer.
Alternative site location: http://www.indianjcancer.com/

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