Intravascular Leiomyomatosis as a Rare Cause of Nonthrombotic Pulmonary Embolism
المؤلفون المشاركون
Van Maercke, Julie
Van Rompuy, Anne-Sophie
Verbelen, Tom
Delcroix, M.
Poppe, W. A. J.
Belge, C.
المصدر
Case Reports in Vascular Medicine
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-4، 4ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-07-15
دولة النشر
مصر
عدد الصفحات
4
التخصصات الرئيسية
الملخص EN
Intravascular leiomyomatosis (IVL) is a very rare condition.
It is characterized by the proliferation of benign smooth muscle cells within vascular structures without invasion of these tissues.
Symptoms depend on the site of origin and the extent of invasion.
Rarely, this neoplasm is located in the inferior vena cava or in the pulmonary vasculature potentially causing symptoms of dyspnea, chest pain, or syncope.
We report the case of a 53-year-old woman who was referred to our hospital with extensive pulmonary embolism comprising of a subtotal occlusion of the right pulmonary artery with extension into the left pulmonary artery.
Due to persistent dyspnea (New York Heart Association class II) despite anticoagulation, after a six-week period, imaging was repeated and showed stable findings.
As she was not responding to adequate anticoagulant therapy, intima sarcoma of the pulmonary artery was suspected, and a pulmonary endarterectomy (PEA) was performed.
A smooth, white, intravascular mass was easily and completely removed.
Analysis demonstrated a lesion consisting of cells without atypia, showing expression of alpha-smooth muscle actin (alpha SMA) and desmin with partial expression of estrogen receptor (ER) and progesterone receptor (PR), leading to the diagnosis of intravascular leiomyomatosis.
The patient fully recovered.
Complete surgical removal of the intravascular tumor is recommended to relieve symptoms and prevent possible complications.
Clinicians have to be aware that in unresolved pulmonary embolism, nonthrombotic and rare causes, like an intima sarcoma or intravascular leiomyomatosis, should be considered.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Van Maercke, Julie& Van Rompuy, Anne-Sophie& Poppe, W. A. J.& Verbelen, Tom& Delcroix, M.& Belge, C.. 2020. Intravascular Leiomyomatosis as a Rare Cause of Nonthrombotic Pulmonary Embolism. Case Reports in Vascular Medicine،Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1151955
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Van Maercke, Julie…[et al.]. Intravascular Leiomyomatosis as a Rare Cause of Nonthrombotic Pulmonary Embolism. Case Reports in Vascular Medicine No. 2020 (2020), pp.1-4.
https://search.emarefa.net/detail/BIM-1151955
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Van Maercke, Julie& Van Rompuy, Anne-Sophie& Poppe, W. A. J.& Verbelen, Tom& Delcroix, M.& Belge, C.. Intravascular Leiomyomatosis as a Rare Cause of Nonthrombotic Pulmonary Embolism. Case Reports in Vascular Medicine. 2020. Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1151955
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1151955
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر