Primary pulmonary malignant fibrous histiocytoma mimics pulmonary artery aneurysm with partial thrombosis: various radiologic evaluations.

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Title: Primary pulmonary malignant fibrous histiocytoma mimics pulmonary artery aneurysm with partial thrombosis: various radiologic evaluations.
Authors: Noh HW (AUTHOR), Park KJ (AUTHOR), Sun JS (AUTHOR), Won JH (AUTHOR), Kwack KS (AUTHOR), Choi H (AUTHOR), Lee KB (AUTHOR), Park JH (AUTHOR), Noh, Hyun Woo1 (AUTHOR), Park, Kyung Joo (AUTHOR), Sun, Joo Sung (AUTHOR), Won, Je Hwan (AUTHOR), Kwack, Kyu-Sung (AUTHOR), Choi, Ho (AUTHOR), Lee, Kyi Beom (AUTHOR), Park, Joo Hun (AUTHOR)
Source: European Radiology. Aug2008, Vol. 18 Issue 8, p1653-1657. 5p.
Abstract: Primary pulmonary malignant fibrous histiocytoma (MFH) is very rare, so only a few imaging features have been reported. We report one case of rapidly growing primary pulmonary MFH mimicking a partially thrombosed pulmonary artery aneurysm and its radiologic findings, including multidetector row computed tomography (MDCT), conventional angiography, and fluorodeoxyglucose-positron emission tomography CT ([18F] FDG-PET/CT). On multi-phasic MDCT, this mass mimicked a pulmonary artery aneurysm with partial thrombosis. However, pulmonary artery aneurysm was excluded and suggested as a hypervascular parenchymal mass by subsequent conventional angiography. On [18F] FDG-PET/CT, it was a highly metabolic mass, showing a maximal standard uptake value (SUV) 12.1. Although primary pulmonary MFH is very rare and has no specific imaging findings, our experience might be helpful to differentiate a hypervascular pulmonary mass. [ABSTRACT FROM AUTHOR]
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Abstract:Primary pulmonary malignant fibrous histiocytoma (MFH) is very rare, so only a few imaging features have been reported. We report one case of rapidly growing primary pulmonary MFH mimicking a partially thrombosed pulmonary artery aneurysm and its radiologic findings, including multidetector row computed tomography (MDCT), conventional angiography, and fluorodeoxyglucose-positron emission tomography CT ([18F] FDG-PET/CT). On multi-phasic MDCT, this mass mimicked a pulmonary artery aneurysm with partial thrombosis. However, pulmonary artery aneurysm was excluded and suggested as a hypervascular parenchymal mass by subsequent conventional angiography. On [18F] FDG-PET/CT, it was a highly metabolic mass, showing a maximal standard uptake value (SUV) 12.1. Although primary pulmonary MFH is very rare and has no specific imaging findings, our experience might be helpful to differentiate a hypervascular pulmonary mass. [ABSTRACT FROM AUTHOR]
ISSN:09387994
DOI:10.1007/s00330-008-0922-0