肺动脉肉瘤误诊为肺栓塞一例并文献复习  

Pulmonary artery sarcoma misdiagnosed as pulmonary embolism:a case report and literature review

作　　者：潘敏婕 韦晓山 杨卫兵[1] PAN Minjie;WEI Xiaoshan;YANG Weibing(Respiratory and Critical Care Medicine Department,Union Hospital Affiliated to Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China)

机构地区：[1]华中科技大学同济医学院附属协和医院呼吸与危重症医学科,湖北武汉430022

出　　处：《临床医学研究与实践》2023年第34期14-17,共4页Clinical Research and Practice

基　　金：2022年国家自然科学基金资助项目(No.82100111)。

摘　　要：肺动脉肉瘤是一种罕见的、可能模拟肺动脉栓塞的疾病,因其起源于肺动脉腔内,在肺动脉造影中可表现为充盈缺损,容易造成临床医生的误诊。本文报道了华中科技大学同济医学院附属协和医院呼吸与危重症医学科收住的不明原因肺动脉血栓栓塞1例,患者于外院诊断为急性肺栓塞,经抗凝治疗症状无明显好转且再发加重,后经病理活检明确诊断为肺动脉肉瘤。通过报告患者的诊疗经过并复习相关文献,以期加强对肺动脉肉瘤的认识及该病与肺动脉栓塞的鉴别。Pulmonary artery sarcoma is a rare disease that may mimic pulmonary embolism.Because it originates from the pulmonary artery cavity and can be manifested as filling defect in pulmonary angiography,it is easy to cause misdiagnosis by clinicians.This paper reports a case of unexplained pulmonary thromboembolism admitted in the respiratory and critical care medicine department,Union Hospital Affiliated to Tongji Medical College,Huazhong University of Science and Technology.The patient was diagnosed as acute pulmonary embolism in other hospitals.After anticoagulant therapy,the symptoms were not significantly improved and aggravated again,and then diagnosed as pulmonary artery sarcoma by pathological biopsy.By reporting the diagnosis and treatment of the patient and reviewing the relevant literature,we hope to strengthen the understanding of pulmonary artery sarcoma and the differential diagnosis between the disease and pulmonary embolism.

关 键 词：肺动脉肉瘤 误诊 肺栓塞 

分 类 号：R734.2[医药卫生—肿瘤]