A Large Idiopathic Arteriovenous Malformation of the Right Lung, Which Was Mistaken for Lung Cancer

Author:

Quarato Carla Maria Irene1ORCID,Taurchini Marco2,Ferretti Gianmaria2,Simeone Anna3,Ciccarese Giovanni4,Dimitri Lucia5,Fuso Paolo1,Sperandeo Marco6

Affiliation:

1. Department of Medical and Surgical Sciences, Institute of Respiratory Diseases, Policlinico Universitario “Riuniti” di Foggia, University of Foggia, Foggia, Italy

2. Unit of Thoracic Surgery, IRCCS Fondazione “Casa Sollievo della Sofferenza,” San Giovanni Rotondo, Foggia, Italy

3. Unit of Radiology, IRCCS Fondazione “Casa Sollievo della Sofferenza,” San Giovanni Rotondo, Italy

4. Unit of Interventional Radiology, IRCCS Fondazione “Casa Sollievo della Sofferenza,” San Giovanni Rotondo, Italy

5. Unit of Pathology, IRCCS Fondazione “Casa Sollievo della Sofferenza,” San Giovanni Rotondo, Italy

6. Unit of Interventional and Diagnostic Ultrasound of Internal Medicine, IRCCS Fondazione “Casa Sollievo della Sofferenza,” San Giovanni Rotondo, Italy

Abstract

A 53-year-old male was admitted to the hospital because of retrosternal and epigastric pain radiating to the back. Radiologic images showed a homogeneous soft tissue mass in the right upper lobe that was initially misdiagnosed as a lung cancer. Fortunately, a careful Doppler examination identified two vascular structures within the lesion. This diagnostic study suggested the execution of a more appropriate computed tomography angiography (CTA). The examination confirmed the diagnosis of a simple pulmonary arteriovenous malformation (AVM). The patient underwent embolization of the arterial side of the AVM and finally a posterolateral mini-thoracotomy to remove the lesion.

Publisher

SAGE Publications

Subject

Radiology, Nuclear Medicine and imaging,Radiological and Ultrasound Technology

Reference8 articles.

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