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World J Clin Oncol. Nov 10, 2013; 4(4): 102-105
Published online Nov 10, 2013. doi: 10.5306/wjco.v4.i4.102
Published online Nov 10, 2013. doi: 10.5306/wjco.v4.i4.102
Pulmonary artery sarcoma successfully treated by right pneumonectomy after definitive diagnosis
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
Revised: September 17, 2013
Accepted: October 19, 2013
Published online: November 10, 2013
Core Tip
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.