Subacute Cor Pulmonale due to Tumor Embolism
| Autor: | Hiroshi Kusama, Hideki Adachi, Akihiko Sudoh, Shuji Oh-ishi, Hisanaga Yagyu, Koji Kishi, Hiroyuki Nakamura, Toshio Hashimoto, Takeshi Matsuoka |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
medicine.medical_specialty
Lung Neoplasms Heart disease Hypertension Pulmonary Autopsy Risk Assessment Severity of Illness Index Diagnosis Differential Fatal Outcome Pulmonary Heart Disease Internal medicine Internal Medicine medicine Humans Radionuclide Imaging business.industry Tumor Embolism Biopsy Needle General Medicine Middle Aged Neoplastic Cells Circulating medicine.disease Immunohistochemistry Pulmonary hypertension respiratory tract diseases Lymphatic system Embolism Breathing Cardiology Female Radiography Thoracic Radiology Differential diagnosis Pulmonary Embolism Tomography X-Ray Computed business |
| Zdroj: | Internal Medicine. 43:420-422 |
| ISSN: | 1349-7235 0918-2918 |
| Popis: | We describe a patient wih subacute cor pulmonale caused by tumor emboli in the lungs. A 64-year-old female suffering from a subacute progressive cough and shortness of breathing died of severe pulmonary hypertension seven days after admission. Neither chest CT scans nor lung perfusion scintigraphy showed any abnormal findings. Microscopic examination after an autopsy revealed diffuse intravascular tumor emboli occluding not only the small pulmonary arteries and arterioles, but also the lymphatic vessels, which were suggested to be metastases of a breast carcinoma resected five years previously. Thus, pulmonary tumor embolism should be considered in the differential diagnosis of primary pulmonary hypertension, particularly in patients with a past history of cancers. |
| Databáze: | OpenAIRE |
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