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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Many times&#44; in Medicine&#44; a certain number of clinical symptoms and signs can be attributed to various causes&#46; These may range from the very frequent to the extremely rare&#46; Fortunately&#44; because it is associated with dire mid-term prognosis&#44; pulmonary artery sarcoma &#40;PAS&#41; falls in the latter group&#46;<a class="elsevierStyleCrossRefs" href="#bib0045"><span class="elsevierStyleSup">1&#44;2</span></a> We must admit that misdiagnosis exists and sometimes it is really difficult&#44; if not impossible&#44; to reach the correct diagnosis&#46; To do so&#44; one must dutifully use all the available data&#44; either arising from the clinical aspects of the patient&#44; from &#8220;first line&#8221; tests such as blood analysis&#44; chest X-ray&#44; echocardiography or computed tomography and when and if available&#44; from more advanced examinations such as magnetic resonance imaging or positron emission tomography&#46;<a class="elsevierStyleCrossRefs" href="#bib0055"><span class="elsevierStyleSup">3&#44;4</span></a> The importance of reaching a correct diagnosis is&#44; of course&#44; to avoid giving the wrong treatment to the patient&#44; offering no benefit&#44; and eventually putting the patient at risk of treatment-related complications&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">In this case&#44;<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">5</span></a> the authors were faced with one of these situations&#44; in which a rare disease mimics a much more frequent condition&#46; After thorough evaluation of all data&#44; the decision was made to remove surgically the mass&#44; which&#44; in turn&#44; enabled the correct histological diagnosis of PAS&#46; We were pleased to hear that at six months post-surgery&#44; the patient was faring reasonably well&#46; It is&#44; however&#44; too early to say that he has been freed of the disease&#46; We must hope that technological advances and the widespread use of more sophisticated examinations may help to enable earlier diagnoses&#46; It is also possible that with the development of new drugs and use of tailored chemotherapy&#44; adequate for each type and evolution of PAS&#44; along with radiotherapy<a class="elsevierStyleCrossRefs" href="#bib0070"><span class="elsevierStyleSup">6&#44;7</span></a> may&#44; in the end&#44; improve the long-term prognosis for these patients&#46;<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">1</span></a></p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of interest</span><p id="par0015" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare&#46;</p></span></span>"
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Editorial comment
In Medicine, as in life, there is the frequent and there is the rare
Na medicina, tal como na vida, há o frequente e há o estranho
Renato Fernandes
Centro de Responsabilidade Integrada Cardio e Cerebrovascular do Alentejo, Hospital do Espírito Santo de Évora, EPE, Évora, Portugal
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