Endometrial stromal sarcoma with selective polyvinyl alcohol embolization of a pulmonary metastasis after recurrent hemoptysis and expansive growth

A 63-year-old female with a well-vascularized pulmonary metastasis of an endometrial stromal sarcoma (ESS) of 6×6 cm received selective embolization with 150–250 μm polyvinyl alcohol (Contour; Boston Scientific, Natick, MA, USA) via a bronchial artery. Post-interventional loss of perfusion was quali...

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Main Authors: Maximilian de Bucourt, Florian Streitparth, Thula Walter, Ulf Teichgräber
Format: Article
Language:English
Published: SAGE Publishing 2010-06-01
Series:Rare Tumors
Online Access:https://doi.org/10.4081/rt.2010.e29
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author Maximilian de Bucourt
Florian Streitparth
Thula Walter
Ulf Teichgräber
author_facet Maximilian de Bucourt
Florian Streitparth
Thula Walter
Ulf Teichgräber
author_sort Maximilian de Bucourt
collection DOAJ
description A 63-year-old female with a well-vascularized pulmonary metastasis of an endometrial stromal sarcoma (ESS) of 6×6 cm received selective embolization with 150–250 μm polyvinyl alcohol (Contour; Boston Scientific, Natick, MA, USA) via a bronchial artery. Post-interventional loss of perfusion was qualitatively estimated to be >80%. The lesion was located in direct proximity to the pulmonary hilar vessels. Owing to recurrent and sudden hemoptyses, an interdisciplinary tumor board assessed the risk of life-threatening blood loss to be greater than that of angiography with particle embolization and agreed on an endovascular approach. Hemoptysis did not recur in a follow-up period of six months. Initial clinical symptoms were noted 25 years ago. However, establishing a definite diagnosis has, for a long time, remained a histopathological challenge.
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spelling doaj.art-b8e27b476691496bbf653c12112f10482022-12-21T17:31:42ZengSAGE PublishingRare Tumors2036-36132010-06-01210.4081/rt.2010.e29Endometrial stromal sarcoma with selective polyvinyl alcohol embolization of a pulmonary metastasis after recurrent hemoptysis and expansive growthMaximilian de Bucourt0Florian Streitparth1Thula Walter2Ulf Teichgräber3Charité-University Medicine Berlin, GermanyCharité-University Medicine Berlin, GermanyCharité-University Medicine Berlin, GermanyCharité-University Medicine Berlin, GermanyA 63-year-old female with a well-vascularized pulmonary metastasis of an endometrial stromal sarcoma (ESS) of 6×6 cm received selective embolization with 150–250 μm polyvinyl alcohol (Contour; Boston Scientific, Natick, MA, USA) via a bronchial artery. Post-interventional loss of perfusion was qualitatively estimated to be >80%. The lesion was located in direct proximity to the pulmonary hilar vessels. Owing to recurrent and sudden hemoptyses, an interdisciplinary tumor board assessed the risk of life-threatening blood loss to be greater than that of angiography with particle embolization and agreed on an endovascular approach. Hemoptysis did not recur in a follow-up period of six months. Initial clinical symptoms were noted 25 years ago. However, establishing a definite diagnosis has, for a long time, remained a histopathological challenge.https://doi.org/10.4081/rt.2010.e29
spellingShingle Maximilian de Bucourt
Florian Streitparth
Thula Walter
Ulf Teichgräber
Endometrial stromal sarcoma with selective polyvinyl alcohol embolization of a pulmonary metastasis after recurrent hemoptysis and expansive growth
Rare Tumors
title Endometrial stromal sarcoma with selective polyvinyl alcohol embolization of a pulmonary metastasis after recurrent hemoptysis and expansive growth
title_full Endometrial stromal sarcoma with selective polyvinyl alcohol embolization of a pulmonary metastasis after recurrent hemoptysis and expansive growth
title_fullStr Endometrial stromal sarcoma with selective polyvinyl alcohol embolization of a pulmonary metastasis after recurrent hemoptysis and expansive growth
title_full_unstemmed Endometrial stromal sarcoma with selective polyvinyl alcohol embolization of a pulmonary metastasis after recurrent hemoptysis and expansive growth
title_short Endometrial stromal sarcoma with selective polyvinyl alcohol embolization of a pulmonary metastasis after recurrent hemoptysis and expansive growth
title_sort endometrial stromal sarcoma with selective polyvinyl alcohol embolization of a pulmonary metastasis after recurrent hemoptysis and expansive growth
url https://doi.org/10.4081/rt.2010.e29
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