Skip to main content
Top
Published in: Journal of Medical Case Reports 1/2008

Open Access 01-12-2008 | Case report

Response of pulmonary artery intimal sarcoma to surgery, radiotherapy and chemotherapy: a case report

Authors: Hong-qing Long, Qin Qin, Cong-hua Xie

Published in: Journal of Medical Case Reports | Issue 1/2008

Login to get access

Abstract

Introduction

Pulmonary artery intimal sarcoma is a rare disease with no characteristic symptoms. It is difficult to diagnose early and is frequently misdiagnosed as a pulmonary embolism.

Case presentation

Here we report a case of pulmonary artery intimal sarcoma in a 54-year-old woman presenting with complaints of shortness of breath on exertion. Echocardiography and a computed tomography scan showed that the right pulmonary artery trunk was blocked by a low-density mass. The patient was diagnosed with pulmonary artery intimal sarcoma by pathology and a complete mass resection was performed. After experiencing 10 months of disease-free survival, she was re-admitted because of the recurrence and metastasis of the tumor. Radiotherapy and chemotherapy were performed; however, only limited success was achieved. The patient died 15 months after the initial onset of symptoms.

Conclusion

Some patients with intimal sarcoma of the pulmonary artery can benefit from radiotherapy and chemotherapy as well as surgery.
Appendix
Available only for authorised users
Literature
1.
go back to reference Furest I, Marin M, Escribano P, Gomez MA, Cortina J, Blanquer R: Intimal sarcoma of the pulmonary artery: a rare cause of pulmonary hypertension. Arch Bronconeumol. 2006, 42: 148-150. 10.1157/13085566.CrossRefPubMed Furest I, Marin M, Escribano P, Gomez MA, Cortina J, Blanquer R: Intimal sarcoma of the pulmonary artery: a rare cause of pulmonary hypertension. Arch Bronconeumol. 2006, 42: 148-150. 10.1157/13085566.CrossRefPubMed
2.
go back to reference Ozbek C, Emrecan B, Calli AO, Gurbuz A: Intimal sarcoma of the pulmonary artery with retrograde extension into the pulmonic valve and right ventricle. Tex Heart Inst J. 2007, 34: 119-121.PubMedPubMedCentral Ozbek C, Emrecan B, Calli AO, Gurbuz A: Intimal sarcoma of the pulmonary artery with retrograde extension into the pulmonic valve and right ventricle. Tex Heart Inst J. 2007, 34: 119-121.PubMedPubMedCentral
3.
go back to reference Bode-lesniewska B, Komminoth P: Intimal sarcoma. Pathology and Genetics: Tumors of Soft Tissue and Bone. Edited by: Fletcher CDM, Unni KK, Mertens F. 2002, Oxford: World Health Organization Classification of Tumors, 223-224. Bode-lesniewska B, Komminoth P: Intimal sarcoma. Pathology and Genetics: Tumors of Soft Tissue and Bone. Edited by: Fletcher CDM, Unni KK, Mertens F. 2002, Oxford: World Health Organization Classification of Tumors, 223-224.
4.
go back to reference Burke A, Virami R: Tumors of the great vessels. AFIP Atlas of Tumor Pathology. Edited by: Burke A, Virami R. 1996, Washington, DC: AFIP, 221-227. Burke A, Virami R: Tumors of the great vessels. AFIP Atlas of Tumor Pathology. Edited by: Burke A, Virami R. 1996, Washington, DC: AFIP, 221-227.
5.
go back to reference Choi EY, Yoon YW, Kwon HM, Kim D, Park BE, Hong YS, Koo JS, Kim TH, Kim HS: A case of pulmonary artery intimal sarcoma diagnosed with multislice CT Scan with 3D reconstruction. Yonsei Med J. 2004, 45: 547-551.CrossRefPubMed Choi EY, Yoon YW, Kwon HM, Kim D, Park BE, Hong YS, Koo JS, Kim TH, Kim HS: A case of pulmonary artery intimal sarcoma diagnosed with multislice CT Scan with 3D reconstruction. Yonsei Med J. 2004, 45: 547-551.CrossRefPubMed
6.
go back to reference Bacha EA, Wright CD, Grillo HC, Wain JC, Moncure A, Keel SB, Donahue DM, Mathisen DJ: Surgical treatment of primary pulmonary sarcomas. Eur J Cardiothorac Surg. 1999, 15: 456-460. 10.1016/S1010-7940(99)00045-7.CrossRefPubMed Bacha EA, Wright CD, Grillo HC, Wain JC, Moncure A, Keel SB, Donahue DM, Mathisen DJ: Surgical treatment of primary pulmonary sarcomas. Eur J Cardiothorac Surg. 1999, 15: 456-460. 10.1016/S1010-7940(99)00045-7.CrossRefPubMed
7.
go back to reference Uchida A, Tabata M, Kiura K, Tanimoto Y, Kanehiro A, Aoe M, Ohohara N, Ueoka H, Tanimoto M: Successful treatment of pulmonary artery sarcoma by a two-drug combination chemotherapy consisting of ifosfamide and epirubicin. Jpn J Clin Oncol. 2005, 35: 417-419. 10.1093/jjco/hyi106.CrossRefPubMed Uchida A, Tabata M, Kiura K, Tanimoto Y, Kanehiro A, Aoe M, Ohohara N, Ueoka H, Tanimoto M: Successful treatment of pulmonary artery sarcoma by a two-drug combination chemotherapy consisting of ifosfamide and epirubicin. Jpn J Clin Oncol. 2005, 35: 417-419. 10.1093/jjco/hyi106.CrossRefPubMed
8.
go back to reference Mattoo A, Fedullo PF, Kapelanski D, IIowite JS: Pulmonary artery sarcoma, a case report of surgical cure and 5-year follow-up. Chest. 2002, 122: 745-747. 10.1378/chest.122.2.745.CrossRefPubMed Mattoo A, Fedullo PF, Kapelanski D, IIowite JS: Pulmonary artery sarcoma, a case report of surgical cure and 5-year follow-up. Chest. 2002, 122: 745-747. 10.1378/chest.122.2.745.CrossRefPubMed
Metadata
Title
Response of pulmonary artery intimal sarcoma to surgery, radiotherapy and chemotherapy: a case report
Authors
Hong-qing Long
Qin Qin
Cong-hua Xie
Publication date
01-12-2008
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2008
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/1752-1947-2-217

Other articles of this Issue 1/2008

Journal of Medical Case Reports 1/2008 Go to the issue