Tasaka Sadatomo, Tomomatsu Katsuyoshi, Funatsu Yohei, Soejima Kenzo, Ishizaka Akitoshi
Division of Pulmonary Medicine, Department of Medicine, Keio University School of Medicine, Tokyo.
Intern Med. 2010;49(5):431-3. doi: 10.2169/internalmedicine.49.2962. Epub 2010 Mar 1.
Percutaneous cryotherapy (PCT) under computed tomographic guidance is minimally invasive, with satisfactory local control of primary lung cancer and pulmonary metastatic lesions. We report a case of acute respiratory distress syndrome (ARDS) in a patient who underwent PCT for lung metastasis of recurrent esophageal cancer. The patient responded to pulse steroid therapy and recovered from severe respiratory failure. Excessive inflammatory response to necrotic debris might contribute to the development of ARDS. To the best of our knowledge, this is the first report describing the details of ARDS following PCT.
计算机断层扫描引导下的经皮冷冻疗法（PCT）是微创的，对原发性肺癌和肺转移瘤有令人满意的局部控制效果。我们报告了1例复发性食管癌肺转移患者在接受PCT后发生急性呼吸窘迫综合征（ARDS）的病例。该患者对脉冲类固醇治疗有反应，并从严重呼吸衰竭中康复。对坏死碎片的过度炎症反应可能导致ARDS的发生。据我们所知，这是第一份描述PCT后ARDS详细情况的报告。
