| Autor: |
Junichi, Tanaka, Shunji, Tajima, Ryo, Ito, Yuichi, Shimaoka, Hideyuki, Kuriyama, Hiroshi, Kagamu, Masaki, Terada, Toshinori, Takada, Fumitake, Gejyo, Eiichi, Suzuki, Hirohisa, Yoshizawa, Ichiei, Narita |
| Rok vydání: |
2009 |
| Předmět: |
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| Zdroj: |
Nihon Kokyuki Gakkai zasshi = the journal of the Japanese Respiratory Society. 47(7) |
| ISSN: |
1343-3490 |
| Popis: |
A 63-year-old man was admitted to our hospital, because of exacerbation of backache and erythema. At the time of admission the chest X-ray film showed infiltrative shadows in the left middle and lower lung fields. Our investigation revealed primary mucinous type bronchioloalveolar carcinoma in the left lung (cT4N2M1 Stage IV). Radiotherapy (C7-Th2, L3-L5. Total 30 Gy/10 fr) was administered to relieve his pain. After radiotherapy, he developed respiratory failure, fever, and infiltrative shadow in his chest X-ray. Antibiotic therapy improved his symptoms, laboratory findings and radiological abnormal findings. We suspected complication with nosocomial infection. However the ground-glass appearance appeared in the right lung a few days later. Although antibiotics and steroids were administered, he died of respiratory failure in 6 days. Necropsy findings revealed bronchioloalveolar carcinoma in the right lung suggesting aerogenous metastasis. Considering these facts together, we diagnosed non-small cell lung carcinoma dying of acute respiratory failure due to aerogenous metastasis. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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