Abstract
Sarcoma originating from the pulmonary veins represents one of the rarest subtypes of sarcoma. We report the case of a 52-year-old woman presenting with cough and scant hemoptysis and ultimately diagnosed with a primary intimal sarcoma of the left inferior pulmonary vein extending into the left lower lobe of the lung. To our knowledge, this is the first reported case of such pathology in the literature. We present the case and critically appraise the literature for sarcomas of the great vessels.
Highlights
A 52-year-old female presented to her primary care physician complaining of a productive cough and intermittent streaks of hemoptysis
We report the case of a 52-year-old woman presenting with cough and scant hemoptysis and diagnosed with a primary intimal sarcoma of the left inferior pulmonary vein extending into the left lower lobe of the lung
We present the case and critically appraise the literature for sarcomas of the great vessels
Summary
A 52-year-old female presented to her primary care physician complaining of a productive cough and intermittent streaks of hemoptysis. We report the case of a 52-year-old woman presenting with cough and scant hemoptysis and diagnosed with a primary intimal sarcoma of the left inferior pulmonary vein extending into the left lower lobe of the lung. The study demonstrated a large filling defect in the left inferior pulmonary vein with extension into the left atrium (Figure 1(a)). A cardiac MRI subsequently confirmed a large 3.1 × 1.5 × 2.8 cm mass protruding into the left atrium and extending from the left inferior pulmonary vein (Figures 1(b) and 1(c)).
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