Fukai R, Rokkaku K, Irie Y, Imazeki T, Katada Y, Watanabe H, Ueda Y, Miyamoto H, Chida M. Pulmonary artery sarcoma successfully treated by right pneumonectomy after definitive diagnosis. World J Clin Oncol 2013; 4(4): 102-105 [PMID: 24926430 DOI: 10.5306/wjco.v4.i4.102]
Corresponding Author of This Article
Ryuta Fukai, MD, PhD, Department of Cardiovascular and Thoracic Surgery, Dokkyo Medical University Koshigaya Hospital, 2-1-50, Minami Koshigaya, Koshigaya 343-8555, Japan. r-fukai@dokkyomed.ac.jp
Research Domain of This Article
Surgery
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Ryuta Fukai, Kyu Rokkaku, Yoshihito Irie, Takao Imazeki, Department of Cardiovascular and Thoracic Surgery, Dokkyo Medical University Koshigaya Hospital, Koshigaya 343-8555, Japan
Yoshiaki Katada, Department of Radiology, Dokkyo Medical University Koshigaya Hospital, Koshigaya 343-8555, Japan
Hiroyoshi Watanabe, Department of Respiratory Medicine, Dokkyo Medical University Koshigaya Hospital, Koshigaya 343-8555, Japan
Yoshihiko Ueda, Department of Pathology, Dokkyo Medical University Koshigaya Hospital, Koshigaya 343-8555, Japan
Hideaki Miyamoto, Department of Thoracic Surgery, Southern Tohoku Research Institute for Respirology, Koriyama 963-8563, Japan
Masayuki Chida, Department of Thoracic Surgery, Dokkyo Medical University, Mibu 321-0293, Japan
Author contributions: Fukai R, Miyamoto H and Chida M designed the report; Fukai R, Rokkaku K, Irie Y, Imazeki T, Katada Y and Watanabe H were attending doctors for the patients; Fukai R, Imazeki T were performed surgical operation; Ueda Y performed pathological examinations; Katada Y performed vascular intervention and image diagnosis; Fukai R organaized the report and wrote paper.
Correspondence to: Ryuta Fukai, MD, PhD, Department of Cardiovascular and Thoracic Surgery, Dokkyo Medical University Koshigaya Hospital, 2-1-50, Minami Koshigaya, Koshigaya 343-8555, Japan. r-fukai@dokkyomed.ac.jp
Telephone: +81-48-9601506 Fax: +81-48-9601506
Received: June 19, 2013 Revised: September 17, 2013 Accepted: October 19, 2013 Published online: November 10, 2013 Processing time: 140 Days and 21.3 Hours
Abstract
Pulmonary artery sarcoma (PAS) is a rare and lethal neoplasm that is usually diagnosed during surgery or autopsy. Early diagnosis and radical surgical resection offer the only chance for survival. However, making a preoperative histopathological diagnosis is quite difficult. We encountered a 57-year-old woman presenting a PAS that mimicked a pulmonary thromboembolism. After confirming a definitive diagnosis using a catheter suction biopsy, we successfully performed a right pneumonectomy via a median sternotomy without cardiopulmonary bypass. Eighteen months after surgery, no recurrence was observed.
Core tip: Pulmonary artery sarcoma (PAS) is a rare and lethal neoplasm that is and usually diagnosed during surgery or autopsy. Early diagnosis and radical surgical resection offer the only chance for survival. However, preoperative histopathological diagnosis is quite difficult owing to the location of the tumor and its rarity. We report a 57-year-old woman patient for whom a preoperative definitive diagnosis of PAS was obtained using catheter-suction biopsy and describe how we successfully performed a curative right pneumonectomy via a median sternotomy without cardiopulmonary bypass. Eighteen months after surgery, no recurrence was observed.
