Primary extraskeletal myxoid chondrosarcoma of pulmonary arteries: a rare mimic of acute pulmonary thromboembolism

Interact Cardiovasc Thorac Surg. 2015 Apr;20(4):565-6. doi: 10.1093/icvts/ivu444. Epub 2015 Jan 5.

Abstract

Primary extraskeletal myxoid chondrosarcoma of the pulmonary arteries is a very rare entity. Multimodality imaging reports on this entity are few. Myxoid chondrosarcoma is characterized by chondroid and neurogenic differentiation in extraskeletal locations. These tumours represent fewer than 2.5% of all soft-tissue sarcomas, and are most commonly found in the lower extremities, limb girdles, distal extremities and trunk. We report an unusual case of a 31-year old man with histopathologically proven extraskeletal myxoid chondrosarcoma of the pulmonary arteries mimicking acute pulmonary thromboembolism.

Keywords: Chondrosarcoma; Multi-detector computed tomography; Positron emission tomography; Pulmonary arteries; Pulmonary thromboembolism.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Biomarkers, Tumor / analysis
  • Biopsy
  • Chemotherapy, Adjuvant
  • Chondrosarcoma / chemistry
  • Chondrosarcoma / pathology*
  • Chondrosarcoma / surgery
  • Diagnosis, Differential
  • Disease Progression
  • Fatal Outcome
  • Humans
  • Immunohistochemistry
  • Male
  • Neoplasms, Connective and Soft Tissue / chemistry
  • Neoplasms, Connective and Soft Tissue / pathology*
  • Neoplasms, Connective and Soft Tissue / surgery
  • Predictive Value of Tests
  • Pulmonary Artery / chemistry
  • Pulmonary Artery / pathology*
  • Pulmonary Artery / surgery
  • Pulmonary Embolism / diagnosis*
  • Time Factors
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Vascular Neoplasms / chemistry
  • Vascular Neoplasms / pathology*
  • Vascular Neoplasms / surgery

Substances

  • Biomarkers, Tumor

Supplementary concepts

  • Chondrosarcoma, Extraskeletal Myxoid