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Pulmonary Artery Intimal Sarcoma Mimicking Intraluminal Seeding: A Case Report
Akira Akazawa1,2, Jun Hanaoka2, Takuya Shiratori2
1Department of General Thoracic Surgery, National Hospital Organization Higashi-Ohmi General Medical Center, Higashi-Ohmi, Shiga, Japan.
Surgical Case Reports
|December 3, 2025
Summary
Pulmonary artery intimal sarcoma (PAIS) can present with challenging intraluminal spread. This case highlights rare skip nodules and creeping infiltration, emphasizing the need for thorough assessment in PAIS resection.
Area of Science:
- Vascular oncology
- Surgical pathology
- Cardiothoracic surgery
Background:
- Pulmonary artery intimal sarcoma (PAIS) is a rare vascular malignancy.
- Complete surgical resection is critical for patient outcomes.
- Intraoperative tumor extent assessment is a significant challenge in PAIS.

