Atrial invasion and showering phenomenon in primary lung cancer: A case report
| Autor: | Christine M Lomiguen, George Nguyen, Bina Kviatkovsky, Matthew Migliozzi, Justin Chin |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Poor prognosis medicine.medical_treatment Case Report Pulmonary vein 03 medical and health sciences Hypercoagulability 0302 clinical medicine Embolus medicine Embolization Embolic occlusion Thrombus Lung cancer Stroke lcsh:RC705-779 business.industry Showering lcsh:Diseases of the respiratory system medicine.disease 030228 respiratory system 030220 oncology & carcinogenesis Radiology business |
| Zdroj: | Respiratory Medicine Case Reports, Vol 30, Iss, Pp 101064-(2020) Respiratory Medicine Case Reports |
| ISSN: | 2213-0071 |
| Popis: | Advanced lung cancer can have numerous extra-pulmonary complications. Due to the proximity to the heart, cardiac invasion and the subsequent seeding of the tumor into the vascular system present numerous challenges in physician team care coordination. Here we have a 55-year-old male who presented with stroke symptoms in the setting of undiagnosed advanced lung cancer complicated by direct tumor invasion into the left atria and mixed embolic showering phenomenon and thrombotic hypercoagulability. Review of both the embolic showering phenomenon and hypercoagulability will be discussed as both can result in embolic occlusion or metastatic seeding at distant sites. Fewer than ten cases of spontaneous tumor embolization resulting from lung cancer invasion of the pulmonary vein have been reported. Poor prognosis of advanced lung cancer requires delicate, yet pragmatic conversations between care teams and the patient. Highlights • Lung cancer has potential sequelae that extend well beyond confines of pulmonary pleura. • Caution is needed when differentiating between tumor extension and metastatic seeding for atrial masses in the setting of lung cancer. • The showering phenomenon of tumor emboli should be considered when presented with stroke symptoms that cannot be attributed to a unilateral deficit or when multiple areas of the brain are affected. |
| Databáze: | OpenAIRE |
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