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Primary pulmonary artery sarcoma resembling chronic thromboembolic pulmonary disease.
Kaplinsky, E J; Favaloro, R R; Pombo, G; Perrone, S V; Vigliano, C A; Schnidt, J L; Boughen, R P.
Afiliação
  • Kaplinsky EJ; Division of Organ Transplant, Institute of Cardiology and Cardiovascular Surgery, Favaloro Foundation, Buenos Aires, Argentina.
Eur Respir J ; 16(6): 1202-4, 2000 Dec.
Article em En | MEDLINE | ID: mdl-11292127
Two cases of primary pulmonary artery sarcoma resembling chronic thromboembolic disease features are presented. Tumour identification was achieved after pulmonarv thromboendarterectomy, which was indicated by documentation of a prothrombotic state in both patients. A doubtful history of pulmonary emboli or deep venous thrombosis should alert medical personnel to the possible presence of a primary pulmonary artery sarcoma. Advanced imaging methods such as gadolinium-enhanced magnetic resonance imaging could be useful in considering pulmonary thromboendarterectomy. If a tumour is detected, its surgical resection should be considered with caution, taking into account the poor survival results. Invasion of the adventitia or the right ventricle, as documented in the present cases, is unusual. As far as the present authors know, this is the first report of this kind of tumour and its coexistence with an activated protein C resistance state and type II heparin-induced thrombocytopenia.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Artéria Pulmonar / Embolia Pulmonar / Sarcoma / Histiocitoma Fibroso Benigno / Neoplasias Vasculares Tipo de estudo: Diagnostic_studies / Prognostic_studies Limite: Adult / Female / Humans / Male Idioma: En Revista: Eur Respir J Ano de publicação: 2000 Tipo de documento: Article País de afiliação: Argentina País de publicação: Reino Unido
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Artéria Pulmonar / Embolia Pulmonar / Sarcoma / Histiocitoma Fibroso Benigno / Neoplasias Vasculares Tipo de estudo: Diagnostic_studies / Prognostic_studies Limite: Adult / Female / Humans / Male Idioma: En Revista: Eur Respir J Ano de publicação: 2000 Tipo de documento: Article País de afiliação: Argentina País de publicação: Reino Unido