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Related Concept Videos

Radiological Investigation III: Pulmonary Angiogram and PET Scan01:13

Radiological Investigation III: Pulmonary Angiogram and PET Scan

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Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (PET) Scan.
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
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Related Experiment Video

Updated: Oct 14, 2025

Intratibial Osteosarcoma Cell Injection to Generate Orthotopic Osteosarcoma and Lung Metastasis Mouse Models
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Primary pulmonary angiosarcoma.

Muhammad Kashif Rana1, Owais Rahman2, Aiden O'Brien2

  • 1Respiratory Medicine, University Hospital Limerick, Limerick, Ireland mkrana2003@yahoo.com.

BMJ Case Reports
|November 10, 2021
PubMed
Summary
This summary is machine-generated.

Primary pulmonary angiosarcoma, a rare vascular tumor, presents diagnostic challenges due to nonspecific symptoms. This case highlights a delayed diagnosis in a 72-year-old man initially misdiagnosed with pulmonary embolism.

Keywords:
lung cancer (oncology)pulmonary embolismrespiratory cancer

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Area of Science:

  • Vascular Oncology
  • Thoracic Surgery
  • Diagnostic Imaging

Background:

  • Primary pulmonary angiosarcoma is an exceptionally rare vascular malignancy.
  • It typically presents with nonspecific symptoms, leading to delayed diagnosis and poor prognosis.
  • Low clinical suspicion often contributes to misdiagnosis, frequently as pulmonary embolism.

Observation:

  • A 72-year-old male presented with a 6-month history of progressive dyspnea, cough, presyncope, and weight loss.
  • Initial CT pulmonary angiogram (CTPA) suggested a large saddle pulmonary embolism.
  • Multidisciplinary team review and further investigations revealed a primary pulmonary artery sarcoma.

Findings:

  • Histological confirmation of primary pulmonary artery sarcoma.
  • The patient underwent left radical pneumonectomy for treatment.
  • This case underscores the importance of considering rare diagnoses in the differential.

Implications:

  • Highlights the critical need for high clinical suspicion for rare vascular tumors in pulmonary circulation.
  • Emphasizes the role of multidisciplinary team discussions in accurate diagnosis.
  • Suggests potential for improved outcomes with earlier detection and surgical intervention.