Pulmonary Arterial Sarcoma With a Wide Range of Endovascular Intima Invasion Microscopically.
Journal
The Annals of thoracic surgery
ISSN: 1552-6259
Titre abrégé: Ann Thorac Surg
Pays: Netherlands
ID NLM: 15030100R
Informations de publication
Date de publication:
11 2021
11 2021
Historique:
received:
25
12
2020
revised:
01
02
2021
accepted:
06
02
2021
pubmed:
20
2
2021
medline:
24
11
2021
entrez:
19
2
2021
Statut:
ppublish
Résumé
A 69-year-old man underwent right middle and lower lobectomy for suspected lung cancer (cT3 N1 M0). The final pathologic diagnosis was pulmonary artery (PA) sarcoma. The stump was positive despite having a sufficient surgical margin. After 11 months, we performed completion pneumonectomy and PA resection and replacement under extracorporeal circulation for local recurrence. Although the PA was macroscopically intact, the frozen pathologic diagnosis was positive 3 times. Because PA sarcoma extends microscopically through the intima of the PA, it is difficult to determine the extent of resection on imaging. We consider confirmation by a frozen pathologic diagnosis to be essential.
Identifiants
pubmed: 33607058
pii: S0003-4975(21)00298-8
doi: 10.1016/j.athoracsur.2021.02.006
pii:
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e373-e375Informations de copyright
Copyright © 2021 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.