Diffuse Tumor Microembolism
Autor: | Clyde H. Belgrave, Linda M. Burrell, Antonio G. Balingit, Robert W. Morse, Lisa K. Moores |
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Rok vydání: | 1997 |
Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty business.industry Vascular disease Tumor Embolism Respiratory disease Autopsy Perfusion scanning Critical Care and Intensive Care Medicine medicine.disease Pulmonary embolism Respiratory failure Medicine Radiology Cardiology and Cardiovascular Medicine business Perfusion |
Zdroj: | Chest. 111:1122-1125 |
ISSN: | 0012-3692 |
Popis: | Pulmonary tumor embolism is a rare but well-documented cause of respiratory failure in patients with cancer. This entity is probably clinically underrecognized and may represent an important cause of morbidity and mortality. A typical pattern of multiple peripheral subsegmental defects on perfusion lung scanning has been described. We present a case of a unilateral near absence of perfusion in a 53-year-old woman who on autopsy was found to have diffuse tumor microembolism. As new chemotherapeutic agents are developed for the treatment of malignancies, an early diagnosis may become more important. A high-probability perfusion scan should not dissuade the clinician from pursuing further evaluation. Cytologic findings of pulmonary venous blood may be diagnostic. |
Databáze: | OpenAIRE |
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