Difficulties in establishing a timely diagnosis of pulmonary artery sarcoma misdiagnosed as chronic thrombo-embolic pulmonary disease: a case report

<p>Abstract</p> <p>Introduction</p> <p>Pulmonary artery sarcomas are rare neoplasms that are often confused with chronic thrombo-embolic disease, as both can have similar clinical and imaging presentation.</p> <p>Case presentation</p> <p>In this...

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Main Authors: Djordjevic Ivanka, Pejcic Tatjana, Rancic Milan, Radovic Milan, Bosnjakovic Petar, Radjenovic-Petkovic Tatjana, Nastasijevic-Borovac Desa, Golubovic Slavica, Dacic Dragana
Format: Article
Language:English
Published: BMC 2009-02-01
Series:Journal of Medical Case Reports
Online Access:http://www.jmedicalcasereports.com/content/3/1/64
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author Djordjevic Ivanka
Pejcic Tatjana
Rancic Milan
Radovic Milan
Bosnjakovic Petar
Radjenovic-Petkovic Tatjana
Nastasijevic-Borovac Desa
Golubovic Slavica
Dacic Dragana
author_facet Djordjevic Ivanka
Pejcic Tatjana
Rancic Milan
Radovic Milan
Bosnjakovic Petar
Radjenovic-Petkovic Tatjana
Nastasijevic-Borovac Desa
Golubovic Slavica
Dacic Dragana
author_sort Djordjevic Ivanka
collection DOAJ
description <p>Abstract</p> <p>Introduction</p> <p>Pulmonary artery sarcomas are rare neoplasms that are often confused with chronic thrombo-embolic disease, as both can have similar clinical and imaging presentation.</p> <p>Case presentation</p> <p>In this report, we present a case of a 50-year-old man initially diagnosed with chronic thrombo-embolic pulmonary disease, but who was later found to have pulmonary artery sarcoma with poor survival prognosis. We review the clinical and imaging characteristics of the two diseases and discuss the difficulties in establishing a timely diagnosis.</p> <p>Conclusion</p> <p>Similar clinical features and imaging presentation of pulmonary artery sarcoma and chronic thrombo-embolic pulmonary disease make definitive diagnosis difficult. This case report also illustrates and emphasizes that in any case with no predisposition factors for embolism, no evidence of deep venous thrombosis and pulmonary emboli, and inadequate relief of symptoms with anticoagulation, an alternative diagnosis of pulmonary artery sarcoma should be considered. If pulmonary artery sarcoma is diagnosed late in the course of the disease, there is usually a poor survival outcome.</p>
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spelling doaj.art-5f001bb4bb014493bbec6f74584b371b2022-12-21T19:14:32ZengBMCJournal of Medical Case Reports1752-19472009-02-01316410.1186/1752-1947-3-64Difficulties in establishing a timely diagnosis of pulmonary artery sarcoma misdiagnosed as chronic thrombo-embolic pulmonary disease: a case reportDjordjevic IvankaPejcic TatjanaRancic MilanRadovic MilanBosnjakovic PetarRadjenovic-Petkovic TatjanaNastasijevic-Borovac DesaGolubovic SlavicaDacic Dragana<p>Abstract</p> <p>Introduction</p> <p>Pulmonary artery sarcomas are rare neoplasms that are often confused with chronic thrombo-embolic disease, as both can have similar clinical and imaging presentation.</p> <p>Case presentation</p> <p>In this report, we present a case of a 50-year-old man initially diagnosed with chronic thrombo-embolic pulmonary disease, but who was later found to have pulmonary artery sarcoma with poor survival prognosis. We review the clinical and imaging characteristics of the two diseases and discuss the difficulties in establishing a timely diagnosis.</p> <p>Conclusion</p> <p>Similar clinical features and imaging presentation of pulmonary artery sarcoma and chronic thrombo-embolic pulmonary disease make definitive diagnosis difficult. This case report also illustrates and emphasizes that in any case with no predisposition factors for embolism, no evidence of deep venous thrombosis and pulmonary emboli, and inadequate relief of symptoms with anticoagulation, an alternative diagnosis of pulmonary artery sarcoma should be considered. If pulmonary artery sarcoma is diagnosed late in the course of the disease, there is usually a poor survival outcome.</p>http://www.jmedicalcasereports.com/content/3/1/64
spellingShingle Djordjevic Ivanka
Pejcic Tatjana
Rancic Milan
Radovic Milan
Bosnjakovic Petar
Radjenovic-Petkovic Tatjana
Nastasijevic-Borovac Desa
Golubovic Slavica
Dacic Dragana
Difficulties in establishing a timely diagnosis of pulmonary artery sarcoma misdiagnosed as chronic thrombo-embolic pulmonary disease: a case report
Journal of Medical Case Reports
title Difficulties in establishing a timely diagnosis of pulmonary artery sarcoma misdiagnosed as chronic thrombo-embolic pulmonary disease: a case report
title_full Difficulties in establishing a timely diagnosis of pulmonary artery sarcoma misdiagnosed as chronic thrombo-embolic pulmonary disease: a case report
title_fullStr Difficulties in establishing a timely diagnosis of pulmonary artery sarcoma misdiagnosed as chronic thrombo-embolic pulmonary disease: a case report
title_full_unstemmed Difficulties in establishing a timely diagnosis of pulmonary artery sarcoma misdiagnosed as chronic thrombo-embolic pulmonary disease: a case report
title_short Difficulties in establishing a timely diagnosis of pulmonary artery sarcoma misdiagnosed as chronic thrombo-embolic pulmonary disease: a case report
title_sort difficulties in establishing a timely diagnosis of pulmonary artery sarcoma misdiagnosed as chronic thrombo embolic pulmonary disease a case report
url http://www.jmedicalcasereports.com/content/3/1/64
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