PDF(Pubmed)
Abstract：
In this report, we describe a 42-year-old man with dyspnea and recurrent hemoptysis who was diagnosed with cardiac angiosarcoma and multiple pulmonary metastases. Before visiting our hospital, he had been misdiagnosed with a lung infection. Bronchoscopy, multiple imaging methods, and extensive laboratory studies failed to identify a clear etiology. Cardiac magnetic resonance imaging and percutaneous lung biopsy revealed cardiac angiosarcoma with multiple pulmonary metastases. Cardiac angiosarcoma is extremely rare and diagnosis is difficult. Diffuse alveolar hemorrhage is not a common manifestation of pulmonary metastases of angiosarcoma and in patients with hemoptysis, clinicians should consider a malignant etiology that is not restricted to the lungs.
摘要：
在这份报告中,我们描述了一名42岁的呼吸困难和反复咯血的男性,他被诊断为心脏血管肉瘤和多发性肺转移.在参观我们医院之前，他被误诊为肺部感染。支气管镜检查,多种成像方法，广泛的实验室研究未能确定明确的病因。心脏磁共振成像和经皮肺活检显示心脏血管肉瘤伴多发性肺转移。心脏血管肉瘤极为罕见，诊断困难。弥漫性肺泡出血不是血管肉瘤和咯血患者肺转移的常见表现，临床医生应考虑不限于肺部的恶性病因.
