대한흉부영상의학회 Korean Society of Thoracic Radiology

대한흉부영상의학회 Weekly Case 메뉴

Close

대한흉부영상의학회 Weekly Case 검색
대한흉부영상의학회 Weekly Case 검색
Advanced Search..

Close

Weekly Chest CasesArchive of Old Cases

Case No : 930 Date 2015-08-24

  • Courtesy of Song Soo Kim, MD / Chungnam National University College of Medicine
  • Age/Sex 65 / M
  • Chief ComplaintChest pain
  • Figure 1
  • Figure 2
  • Figure 3
  • Figure 4
  • Figure 5
  • Figure 6

Diagnosis With Brief Discussion

Diagnosis
Pulmonary artery angiosarcoma
Radiologic Findings
Chest radiograph shows cardiomegaly with left hilar bulging shadow. Contrast-enhanced CT images show intraluminal soft tissue filling defects with peripheral enhancement and extraluminal tumor extension in pulmonary trunk and both main pulmonary arteries, and extension to right ventricular outflow track.
Brief Review
Pulmonary artery sarcoma is a rare malignancy arising from the mesenchymal cells of the intima of the pulmonary artery. It is usually presenting heterogenous histology that most likely reflect a pluripotential or mesenchymal cell origin. Some examples that have been reviewed in the literature represent undifferentiated sarcomas that may display a myofibroblastic or leiomyosarcomatous component; nevertheless, osteosarcomatous, chondrosarcomatous, rhabdomyosarcomatous, liposarcomatous and angiosarcomatous elements have also been described. It occurs in middle age, with no specific clinical features, which may mimic other diseases such as lung cancer, mediastinal masses, and especially acute or chronic pulmonary embolism. Symptoms include chest pain, cough, dyspnea, hemoptysis, pulmonary hypertension and right heart failure. CT findings favoring the diagnosis of pulmonary artery sarcoma include low-attenuation filling defect occupying the entire luminal diameter of the proximal or main pulmonary artery, expansion of the involved arteries, and extraluminal tumor extension. MRI is highly specific in recognizing pulmonary artery sarcoma since the tumor enhances post-gadolinium contrast more than bland thrombus.
References
Am J Roentgenol. 2007;188 (6): 1691-3
Keywords
Vascular, Malignant tumor,

No. of Applicants : 107

▶ Correct Answer : 31/107,  29.0%
  • - radiologist, aditya imaging centre , India vivek patel
  • - jaslok hospital & research centre mumbai , India JAINENDRA JAIN
  • - Shanghai Jiao Tong University Affiliated Sixth People萸 , China Jiayin Zhang
  • - KAUMS, kashan , Iran Ebrahim Razi
  • - CH Nevers , France Yacine El Yaagoubi
  • - privato , Italy genchi enzo
  • - Myongji hospital , Korea (South) Ji Ye Lee
  • - MUHC , Canada Hani AlSalam
  • - Shiga University of Medical Science , Japan Akitoshi Inoue
  • - Universidad de Chile , Chile Alvaro Zuniga
  • - Seoul university hospital , Korea (South) Youngjin Ryu
  • - saket city hospital , India nidhi goyal
  • - Onomichi Municipal Hospital , Japan Yoshihisa Masaoka
  • - Asan medical center , Korea (South) Sang Young Oh
  • - Asan Medical Center, Ulsan University , Korea (South) Mi Young Kim
  • - Okinawa Kyodo Hospital , Japan Shoko Iraha
  • - Ishikawa Matto Central Hospital , Japan Manabu Akimoto
  • - chungbuk national university hospital , Korea (South) soojung lee
  • - 異⑸ , Korea (South) sooncheul baek
  • - Ajou University hospital , Korea (South) Hun Cho
  • - Ondokuz Mayis University , Turkey Cetin Celenk
  • - Pusan national university hospital , Korea (South) hie bum suh
  • - IRSA LA ROCHELLE , France, Metropolitan BIGOT
  • - CHU Poitiers , France CHAN paul
  • - Onomichi municipal hospital , Japan Hirofumi Mifune
  • - Pneumologia Universitaria, Policlinico di Bari , Italy Mario Damiani
  • - CLINIQUE STE CLOTILDE , Reunion patrick MASCAREL
  • - National Taiwan University Hospital , Taiwan Li-Ta Keng
  • - Medicheck health care , Korea (South) Chae Lim
  • - 異⑸ , Korea (South) Junghwan Kim
  • - �stanbul , Turkey Ayhan Yilmaz
▶ Correct Answer as Differential Diagnosis : 17/107,  15.9%
  • - Kyoto University , Japan Akihiko Sakata
  • - Osaka Rosai Hospital , Japan Hiromitsu Sumikawa
  • - chp st martin , France Mariotte benoit
  • - McGill University Health Center , Canada Alexandre Semionov
  • - Diagnose.me (BV) / Royal Perth Hospital , Australia Yuranga Weerakkody
  • - Kinki University Faculty of Medicine, , Japan Mitsuru Matsuki
  • - Asan , Korea (South) Sania ALBlushi
  • - DAYA General Hospital,Thrissur,Kerala , India Raveendran TK
  • - Fortis hospital , Mohali , India Shaleen Rana
  • - CLCC Rennes , France nicolas gautier
  • - CNUH , Korea (South) Noh Hoon
  • - Freelance resident in Reunion Island , Reunion Fabien HO
  • - 異⑸ , Korea (South) Yunhee Jang
  • - Kizawa Memorial Hospital , Japan Yo Kaneko
  • - okayama university , Japan numa shingo
  • - Seirei Hamamatsu General Hospital , Japan Kenichi Mizuki
  • - NASA SCANS , India RAKESH BHATIA
▶ Semi-Correct Answer : 49/107,  45.8%
  • - Daejin Medical Center Bundang Jesaeng General Hospital , Korea (South) Donghwan Kim
  • - Niigata University , Japan Atsushi Uehara
  • - Juntendo University Hospital , Japan Akifumi Hagiwara
  • - Armed Forces Seoul Hospital , Korea (South) Eui Jin Hwang
  • - NIMS, HYDERABAD , India bhaskar kakarla
  • - Santosh hospital,Bengaluru , India Pravin Mahadevappa
  • - Tashkent Medical Academy , Uzbekistan Rustam Fayzullaev
  • - University of British Columbia , Canada Amr Ajlan
  • - himeji redcross hospital , Japan souichirou okamoto
  • - GHICL , France manuel toledano
  • - Government Medical College, Nagpur, India , India Krishna Prasad Bellam
  • - Oita University, Faculty of Medicine , Japan Fumito Okada
  • - PRINCE SATTAM IBN ABDULAZIZ UNIVERSITY HOSPITAL , Saudi Arabia Elbagir Nasser
  • - CHU NANCY , France, Metropolitan LEGOU Francois
  • - University of Tsukuba Hospital , Japan Shioto Oda
  • - DELTA CARE HOSPITAL, THANJAVUR, INDIA , India SIVARAJA SUBRAMANIAM
  • - The University of Tokyo Hospital , Japan Toshihiro Furuta
  • - National Center hospital of Neurology and Psychiatry , Japan Kaoru Sumida
  • - Avrasya Hospital , Turkey Murat Ulusoy
  • - Severance hospital , Korea (South) Suyon Chang
  • - Niigata City General Hospital , Japan Takao Kiguchi
  • - CRA , Morocco Abdelhafid SBIHI
  • - Ewha Womans University Hospital , Korea (South) YOOKYUNG KIM
  • - Bahcesehir University School of Medicine, Radiology Department , Turkey Mustafa Kemal Demir
  • - Chonnam national university hospital , Korea (South) INSOO JANG
  • - Wuhan Union Hospital , China Qiguang Cheng
  • - CHRU Lille , France Paul Lebert
  • - Diskapi Yildirim Beyazit Hospital, Ankara , Turkey Meric Tuzun
  • - Asan Medical Center , Korea (South) Jooae Choe
  • - Asan Medical Center , Korea (South) , Korea (South) Han Na Lee
  • - Asan Medical Center , Korea (South) Hyung Jung Koo
  • - Otsu Red Cross Hospital , Japan Hirotsugu Nakai
  • - Human medical imaging % intervention center , Korea (South) Suryoung Jun
  • - Yokohama-asahi-chuo-general hospital , Japan Kyoko Nagai
  • - CHRU Lille , France Julien Pagniez
  • - the first affiliatited hospital of nanjing medical univercity , China Hai Xu
  • - The University of Tokyo Hospital , Japan Takeyuki Watadani
  • - chungbuk national university hospital , Korea (South) lee jung hwan
  • - IRSA La Rochelle , France Denis Chabassiere
  • - Andong Medical Center , Korea (South) Dong-Ho Bang
  • - Pusan national university hospital , Korea (South) Jin Joo Kim
  • - Pusan national university hospital , Korea (South) LEE YOU JIN
  • - chungbuk university hospital , Korea (South) Hyeonmi Ryu
  • - the First Affiliated Hospital of NanJing Medical University , China Aiping Chen
  • - ZIGONG TCM HOSPITAL OF CHINA , China Cao Cunyou
  • - CRC , Switzerland Louis Locatelli
  • - University of Tsukuba Hospital , Japan Sodai Hoshiai
  • - Gifu Central Hospital , Japan Haruo Watanabe
  • - Samsung Medical Center , Korea (South) Jeonghyun Lee
  • Top
  • Back

Each Case of This Site Supplied by the Members of KSTR.
Copyright of the Images is in the KSTR and Original Supplier.
Current Editor : Sang Young Oh, M.D., Ph.D Email : sangyoung.oh@gmail.com

This website is optimized for IE 10 and above.