Pulmonary rhabdomyosarcoma complicated with pulmonary artery extensive embolism
نویسندگان
چکیده
Rhabdomyosarcoma (RMS) is an uncommon type of soft-tissue malignancy which mainly influences children. Primary pulmonary RMS (PPR) is extremely uncommon. Here, we describe a case of PPR complicated by pulmonary artery extensive embolism. A 41-year-old Chinese woman characterized of repeating cough complained of chest congestion. Despite first diagnosis of pulmonary infection, antibiotic therapy did not improve clinical symptom. The diagnosis of pulmonary artery extensive embolism was made by using computed tomography angiography (CTA). In addition, computed tomography (CT) scan showed a soft tissue mass in the left lung field. Positron emission tomography-CT (PET-CT) further revealed lung nodules with active metabolism. The diagnosis was finally made by aspiration biopsy guided by CT. These findings accounted for repeating cough and chest congestion. We should suspect lung malignancy when we see a patient with pulmonary shadow complicated by pulmonary artery embolism.
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