Pulmonary artery angiomatoid fibrous histiocytoma mimicking pulmonary embolism

BMJ Case Rep. 2023 Mar 29;16(3):e252872. doi: 10.1136/bcr-2022-252872.

Abstract

A young man presented to the emergency department with pleuritic chest pain and shortness of breath. Of note, he recently went on a long-distance flight of about 9 hours. Given his recent long-distance travel and clinical symptoms, a pulmonary embolism was suspected. However, pathological examination of the excised pulmonary artery intraluminal mass demonstrated an angiomatoid fibrous histiocytoma. This case describes the clinicopathological and immunohistochemical features and molecular profile of a rare type of pulmonary artery tumour, a pulmonary artery angiomatoid fibrous histiocytoma.

Keywords: Pathology; Respiratory cancer.

Publication types

  • Case Reports

MeSH terms

  • Histiocytoma, Benign Fibrous* / pathology
  • Histiocytoma, Malignant Fibrous* / diagnosis
  • Histiocytoma, Malignant Fibrous* / pathology
  • Histiocytoma, Malignant Fibrous* / surgery
  • Humans
  • Male
  • Pulmonary Artery / diagnostic imaging
  • Pulmonary Artery / pathology
  • Pulmonary Embolism* / diagnosis

Supplementary concepts

  • Histiocytoma, Angiomatoid Fibrous