左肾静脉平滑肌肉瘤患者出现复发性肺栓塞且伴有固定血栓。

Recurrent pulmonary embolism with non-mobile thrombus in a patient with leiomyosarcoma of the left renal vein.

作者信息

Mansencal Nicolas, El Hajjam Mostafa, Vieillard-Baron Antoine, Pelage Jean-Pierre, Lacombe Pascal, Dubourg Olivier

出版信息

Int J Cardiol. 2006 Sep 20;112(2):247-8. doi: 10.1016/j.ijcard.2005.07.044. Epub 2005 Oct 18.

DOI:10.1016/j.ijcard.2005.07.044

Abstract

We describe the case of a man who suffered recurrent pulmonary embolisms despite well-conducted oral anticoagulant therapy. Echocardiography and helical computed tomography revealed a non-mobile right atrial mass related to a leiomyosarcoma of the left renal vein. The prognosis of such a disease is bad and the patient died at 1-year follow-up. Recurrent pulmonary embolism with well-conducted oral anticoagulant therapy requires further appropriate investigations, because of high suspicion of neoplastic process.

摘要

我们描述了一名男子的病例，尽管接受了规范的口服抗凝治疗，但仍反复发生肺栓塞。超声心动图和螺旋计算机断层扫描显示右心房有一个与左肾静脉平滑肌肉瘤相关的固定肿块。这种疾病的预后很差，患者在1年随访时死亡。由于高度怀疑存在肿瘤性病变，对于接受规范口服抗凝治疗仍反复发生肺栓塞的情况，需要进一步进行适当的检查。