Dres M, Ferré A, Marie Allain Y, Giraud F, Horellou M H, Gaudric J, Huchon G, Roche N
Service de Pneumologie et Réanimation, Hôtel-Dieu, Paris France.
Rev Mal Respir. 2009 Sep;26(7):783-7. doi: 10.1016/s0761-8425(09)72431-3.
We report the case of a 61-year old man in whom a deep venous thrombosis was the presenting feature of disseminated lung carcinoma. A few days later, an arterial thrombosis occurred necessitating amputation. Within a few weeks, the lung cancer progressed dramatically and the patient died. While the association between venous thrombosis and cancer is well known, the relationship between cancer and arterial thrombosis has been less explored. This observation allows discussion of the pathophysiological and clinical aspects of this association, as well as the implications for patient care.
我们报告了一例61岁男性病例,其首发症状为深静脉血栓形成,最终确诊为播散性肺癌。几天后,发生了动脉血栓形成,不得不进行截肢。几周内,肺癌迅速进展,患者死亡。虽然静脉血栓形成与癌症之间的关联已为人熟知,但癌症与动脉血栓形成之间的关系尚未得到充分研究。该病例有助于探讨这种关联的病理生理和临床方面,以及对患者护理的影响。