A Case of Pulmonary Sarcoma with Significant Extension into the Right Lung
A female patient in her 30s was referred to us with a mass approximately 8 centimeters in diameter in right lung segment 6. Bronchoscopy was done, and a tumorous lesion obstructing right B6 was found. Biopsy of this lesion supported suspicions of sarcoma or spindle cell carcinoma. Contrast-enhanced...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2014/279374 |
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| author | Yoshiaki Inoue Yotaro Izumi Kenjiro Sakaki Keiko Abe Teruaki Oka Jun-Ichi Tamaru Ato Sugiyama Kohei Aoki Hiroki Fukuda Masatoshi Gika Kazuhito Imanaka Mitsuo Nakayama |
| author_facet | Yoshiaki Inoue Yotaro Izumi Kenjiro Sakaki Keiko Abe Teruaki Oka Jun-Ichi Tamaru Ato Sugiyama Kohei Aoki Hiroki Fukuda Masatoshi Gika Kazuhito Imanaka Mitsuo Nakayama |
| author_sort | Yoshiaki Inoue |
| collection | DOAJ |
| description | A female patient in her 30s was referred to us with a mass approximately 8 centimeters in diameter in right lung segment 6. Bronchoscopy was done, and a tumorous lesion obstructing right B6 was found. Biopsy of this lesion supported suspicions of sarcoma or spindle cell carcinoma. Contrast-enhanced CT showed that the mass extended to and obstructed the right main pulmonary artery. A skip lesion was also suspected in the periphery of pulmonary artery trunk. The tumor was removed by right pneumonectomy accompanied by resection of the main and left pulmonary arteries under cardiopulmonary bypass. The pulmonary artery trunk and the left pulmonary artery were reconstructed with a vascular graft. Collectively, intimal sarcoma originating from the right main pulmonary artery with extension into the right lung was diagnosed. Significant extension of pulmonary artery sarcoma into the lung, as was observed in the present case, is considered to be rare, and to our knowledge this is the first report in which the primary lesion was biopsied by bronchoscopy. |
| format | Article |
| id | doaj-art-3300d0cc0e85403896faa23bb10790db |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-3300d0cc0e85403896faa23bb10790db2025-02-03T06:11:10ZengWileyCase Reports in Medicine1687-96271687-96352014-01-01201410.1155/2014/279374279374A Case of Pulmonary Sarcoma with Significant Extension into the Right LungYoshiaki Inoue0Yotaro Izumi1Kenjiro Sakaki2Keiko Abe3Teruaki Oka4Jun-Ichi Tamaru5Ato Sugiyama6Kohei Aoki7Hiroki Fukuda8Masatoshi Gika9Kazuhito Imanaka10Mitsuo Nakayama11Department of General Thoracic Surgery, Saitama Medical Center, Saitama Medical University, 1981 Kamoda, Kawagoe, Saitama 350-8550, JapanDepartment of General Thoracic Surgery, Saitama Medical Center, Saitama Medical University, 1981 Kamoda, Kawagoe, Saitama 350-8550, JapanDepartment of Cardiovascular Surgery, Saitama Medical Center, Saitama Medical University, Saitama 350-8550, JapanDepartment of Pathology, Saitama Medical Center, Saitama Medical University, Saitama 350-8550, JapanDepartment of Pathology, Saitama Medical Center, Saitama Medical University, Saitama 350-8550, JapanDepartment of Pathology, Saitama Medical Center, Saitama Medical University, Saitama 350-8550, JapanDepartment of General Thoracic Surgery, Saitama Medical Center, Saitama Medical University, 1981 Kamoda, Kawagoe, Saitama 350-8550, JapanDepartment of General Thoracic Surgery, Saitama Medical Center, Saitama Medical University, 1981 Kamoda, Kawagoe, Saitama 350-8550, JapanDepartment of General Thoracic Surgery, Saitama Medical Center, Saitama Medical University, 1981 Kamoda, Kawagoe, Saitama 350-8550, JapanDepartment of General Thoracic Surgery, Saitama Medical Center, Saitama Medical University, 1981 Kamoda, Kawagoe, Saitama 350-8550, JapanDepartment of Cardiovascular Surgery, Saitama Medical Center, Saitama Medical University, Saitama 350-8550, JapanDepartment of General Thoracic Surgery, Saitama Medical Center, Saitama Medical University, 1981 Kamoda, Kawagoe, Saitama 350-8550, JapanA female patient in her 30s was referred to us with a mass approximately 8 centimeters in diameter in right lung segment 6. Bronchoscopy was done, and a tumorous lesion obstructing right B6 was found. Biopsy of this lesion supported suspicions of sarcoma or spindle cell carcinoma. Contrast-enhanced CT showed that the mass extended to and obstructed the right main pulmonary artery. A skip lesion was also suspected in the periphery of pulmonary artery trunk. The tumor was removed by right pneumonectomy accompanied by resection of the main and left pulmonary arteries under cardiopulmonary bypass. The pulmonary artery trunk and the left pulmonary artery were reconstructed with a vascular graft. Collectively, intimal sarcoma originating from the right main pulmonary artery with extension into the right lung was diagnosed. Significant extension of pulmonary artery sarcoma into the lung, as was observed in the present case, is considered to be rare, and to our knowledge this is the first report in which the primary lesion was biopsied by bronchoscopy.http://dx.doi.org/10.1155/2014/279374 |
| spellingShingle | Yoshiaki Inoue Yotaro Izumi Kenjiro Sakaki Keiko Abe Teruaki Oka Jun-Ichi Tamaru Ato Sugiyama Kohei Aoki Hiroki Fukuda Masatoshi Gika Kazuhito Imanaka Mitsuo Nakayama A Case of Pulmonary Sarcoma with Significant Extension into the Right Lung Case Reports in Medicine |
| title | A Case of Pulmonary Sarcoma with Significant Extension into the Right Lung |
| title_full | A Case of Pulmonary Sarcoma with Significant Extension into the Right Lung |
| title_fullStr | A Case of Pulmonary Sarcoma with Significant Extension into the Right Lung |
| title_full_unstemmed | A Case of Pulmonary Sarcoma with Significant Extension into the Right Lung |
| title_short | A Case of Pulmonary Sarcoma with Significant Extension into the Right Lung |
| title_sort | case of pulmonary sarcoma with significant extension into the right lung |
| url | http://dx.doi.org/10.1155/2014/279374 |
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