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Case ReportTeaching Case

A Lesson from a Rare Cause of Pulmonary Embolism

Luyao Ma, Yan Zhu, Haoliang Sun, Fanghong Li, Yongfeng Shao and Shijiang Zhang
Respiratory Care November 2013, 58 (11) e149-e152; DOI: https://doi.org/10.4187/respcare.02362
Luyao Ma
Division of Cardiothoracic Surgery
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Yan Zhu
Division of Pathology, First Affiliated Hospital, Nanjing Medical University, Nanjing, People's Republic of China.
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Haoliang Sun
Division of Cardiothoracic Surgery
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Fanghong Li
Division of Pathology, First Affiliated Hospital, Nanjing Medical University, Nanjing, People's Republic of China.
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Yongfeng Shao
Division of Cardiothoracic Surgery
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Shijiang Zhang
Division of Cardiothoracic Surgery
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  • For correspondence: Shijiangzhang@hotmail.com
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Figures

  • Fig. 1.
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    Fig. 1.

    Chest x-ray shows several small, scattered nodular shadows in both lungs.

  • Fig. 2.
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    Fig. 2.

    Contrast-enhanced computed tomography shows (above) scattered nodular shadows in both lungs and (below) occluded left pulmonary artery.

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    Fig. 3.

    Pulmonary angiography shows complete occlusion of the left pulmonary artery.

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    Fig. 4.

    Multiple fragments of white and reddish soft tissue were removed from the pulmonary artery.

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    Fig. 5.

    A: The tumor was constituted by only a thin peripheral rim of viable tissue, with central necrosis and hemorrhage. The tumor cells had an intimate mixture of multinucleated syncytiotrophoblast, mononuleate cytotrophoblast, and intermediate trophoblast. There was considerable cytologic atypia in the trophoblast, with polymorphic- hyperchromatic nuclei and abnormal mitotic figures (hematoxylin-eosin stain, magnification 200). Syncytiotrophoblasts were strongly positive for (B) beta-human chorionic gonadotropin and (C) cytokeratin immunostaining (magnification 200).

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Respiratory Care: 58 (11)
Respiratory Care
Vol. 58, Issue 11
1 Nov 2013
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A Lesson from a Rare Cause of Pulmonary Embolism
Luyao Ma, Yan Zhu, Haoliang Sun, Fanghong Li, Yongfeng Shao, Shijiang Zhang
Respiratory Care Nov 2013, 58 (11) e149-e152; DOI: 10.4187/respcare.02362

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A Lesson from a Rare Cause of Pulmonary Embolism
Luyao Ma, Yan Zhu, Haoliang Sun, Fanghong Li, Yongfeng Shao, Shijiang Zhang
Respiratory Care Nov 2013, 58 (11) e149-e152; DOI: 10.4187/respcare.02362
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