Pulmonary Sarcoma: a wolf in sheep's clothing

A 40-year-old woman was referred for evaluation of perceived anticoagulation failure six months following a diagnosis of pulmonary embolism that precipitated cardiogenic shock. Active symptoms included exertional dyspnea despite anticoagulation. Historical elements include intermittent fevers, and mild unintentional weight loss of about five pounds. The personal and family history were not significant for vascular risk factors and age-appropriate cancer surveillance was current. Chest imaging at an outside institution revealed a persistent or slightly increased pulmonary artery thrombus burden and so catheter-directed thrombectomy was attempted but unsuccessful.
Source: The American Journal of Medicine - Category: General Medicine Authors: Tags: Diagnostic Dilemma Source Type: research