摘要Pulmonary artery intimal sarcoma (PAIS) is a very rare but lethal disease,firstly described by Mandelstamm in 1923.1 Since then,less than 300 cases have been reported worldwide.Due to similar clinical presentations,it is very difficult to distinguish with pulmonary thromboembolism (PTE),leading to inappropriate treatments such as anticoagulation and thrombolysis.2-5Although with improvement of imaging modalities,the diagnosis of PAIS is still based on pathological examination,and the majority of specimens are taken by surgery or autopsy.
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