Unresectable undifferentiated sarcoma of the pulmonary artery

Case A 70-year-old female patient with known Parkinson’s disease and arterial hypertension presented with a progressive exertional dyspnoea over the last couple of months. She also suffered from night sweats and weight loss of 5 kg which the patient claimed to be intentional. Angina, syncope, cough, fever and haemoptysis were denied. Chest X-ray was performed and a right paratracheal mass was observed. Therefore, a CT thorax was indicated and showed a 12.6x6.5 cm right central mass with infiltration of the pulmonary artery. Furthermore, intrapulmonary artery opacity was detected and initially interpreted as a saddle pulmonary thrombus. The patient was referred to our centre for monitoring and anticoagulation therapy. Further examination showed no signs of acute right heart failure, and deep vein thrombosis was excluded. Re-evaluation with angio-CT of the thorax revealed a neoplasm growing along the right pulmonary artery subtotally occluding both pulmonary arteries (figure 1). Transthoracic echocardiography...
Source: Thorax - Category: Respiratory Medicine Authors: Tags: Images in Thorax, Thorax Source Type: research