{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T01:29:08Z","timestamp":1760059748304,"version":"build-2065373602"},"reference-count":8,"publisher":"MDPI AG","issue":"13","license":[{"start":{"date-parts":[[2025,7,5]],"date-time":"2025-07-05T00:00:00Z","timestamp":1751673600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>We report a 26-year-old male presenting with a chronic cough and hemoptysis. Imaging revealed a large hypermetabolic mass in the left lower lung with the invasion of adjacent great vessels. A biopsy confirmed sarcomatoid carcinoma, a rare and aggressive form of primary pulmonary sarcoma. Due to vascular involvement, the patient underwent preoperative bronchial artery embolization followed by left pneumonectomy with pulmonary arterioplasty via median sternotomy. Postoperative recovery was uneventful. A two-year follow-up CT showed no recurrence. Primary pulmonary sarcomas are extremely rare, accounting for only 0.013\u20130.4% of lung malignancies, and are often diagnosed late due to nonspecific symptoms. This case highlights the importance of timely imaging, multidisciplinary planning, and aggressive surgical management in achieving long-term disease control, even in cases with extensive vascular invasion.<\/jats:p>","DOI":"10.3390\/diagnostics15131718","type":"journal-article","created":{"date-parts":[[2025,7,7]],"date-time":"2025-07-07T02:53:07Z","timestamp":1751856787000},"page":"1718","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Durable Disease Control in Primary Pulmonary Sarcomatoid Carcinoma Following Pneumonectomy"],"prefix":"10.3390","volume":"15","author":[{"given":"Cheng-Shiun","family":"Shiue","sequence":"first","affiliation":[{"name":"Division of Cardiovascular Surgery, Department of Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan 701, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chao-Chun","family":"Chang","sequence":"additional","affiliation":[{"name":"Division of Thoracic Surgery, Department of Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan 701, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3893-4645","authenticated-orcid":false,"given":"Meng-Ta","family":"Tsai","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Surgery, Department of Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan 701, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2938-4100","authenticated-orcid":false,"given":"Yu-Ning","family":"Hu","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Surgery, Department of Surgery, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan 701, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,7,5]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"2324709614529416","DOI":"10.1177\/2324709614529416","article-title":"Pulmonary artery sarcoma: A rare entity","volume":"2","author":"Shomaf","year":"2014","journal-title":"J. Investig. Med. High Impact Case Rep."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1016\/j.prp.2013.12.002","article-title":"Incidence of pulmonary non-epithelial tumors: 18 years\u2019 experience at a single institute","volume":"210","author":"Choi","year":"2014","journal-title":"Pathol. Res. Pract."},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Huang, Q., Li, W., and He, X. (2023). Prognostic visualization model for primary pulmonary sarcoma: A SEER-based study. Sci. Rep., 13.","DOI":"10.1038\/s41598-023-45058-7"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"667","DOI":"10.1016\/j.repc.2019.08.013","article-title":"Pulmonary artery sarcoma misdiagnosed as a pulmonary embolism: A case report","volume":"42","author":"Yang","year":"2023","journal-title":"Rev. Port. Cardiol."},{"key":"ref_5","first-page":"162","article-title":"Primary pulmonary sarcoma: Long-term treatment outcomes and prognostic factors","volume":"15","author":"Osowiecka","year":"2018","journal-title":"Kardiochir. Torakochirurgia Pol."},{"key":"ref_6","doi-asserted-by":"crossref","unstructured":"Zhang, J., Zhang, W., Chen, C., Guan, Y., and Wang, C. (2010, January 16\u201318). Computed diagnosis system for lung tumor detection based on PET\/CT images. Proceedings of the 3rd International Conference on Biomedical Engineering and Informatics, Yantai, China.","DOI":"10.1109\/BMEI.2010.5639453"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"2592","DOI":"10.21037\/jtd.2016.08.89","article-title":"Primary pulmonary artery sarcoma: A close associate of pulmonary embolism\u201420-year observational analysis","volume":"8","author":"Bandyopadhyay","year":"2016","journal-title":"J. Thorac. Dis."},{"key":"ref_8","doi-asserted-by":"crossref","unstructured":"Liang, L., Liu, Z., Wang, C., and Xie, S. (2022). Adjuvant chemotherapy is not a decisive factor in improving the overall survival of pulmonary sarcoma: A population-based study. Front. Oncol., 12.","DOI":"10.3389\/fonc.2022.940839"}],"container-title":["Diagnostics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2075-4418\/15\/13\/1718\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T18:05:06Z","timestamp":1760033106000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2075-4418\/15\/13\/1718"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,5]]},"references-count":8,"journal-issue":{"issue":"13","published-online":{"date-parts":[[2025,7]]}},"alternative-id":["diagnostics15131718"],"URL":"https:\/\/doi.org\/10.3390\/diagnostics15131718","relation":{},"ISSN":["2075-4418"],"issn-type":[{"type":"electronic","value":"2075-4418"}],"subject":[],"published":{"date-parts":[[2025,7,5]]}}}