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一名晚期肺癌患者因肿瘤侵犯肺静脉导致自发性系统性肿瘤栓塞。

Spontaneous systemic tumor embolism caused by tumor invasion of pulmonary vein in a patient with advanced lung cancer.

作者信息

Park Jung Hwan, Seo Hye-Sun, Park Se Kyung, Suh Jon, Kim Dong Hun, Cho Yoon Haeng, Lee Nae-Hee

机构信息

Department of internal medicine, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.

出版信息

J Cardiovasc Ultrasound. 2010 Dec;18(4):148-50. doi: 10.4250/jcu.2010.18.4.148. Epub 2010 Dec 31.

DOI:10.4250/jcu.2010.18.4.148
PMID:21253365
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3021894/
Abstract

We describe a 72-year-old man who presented with left hemiparesis due to acute cerebral infarction in the right fronto-temporal lobe. Three months prior to admission, he was hospitalized for right hemiparesis due to the acute cerebral infarction in the left anterior cerebral artery territory. To investigate the cause of his recurrent embolic event, a chest computed tomography scan and echocardiography were performed, which revealed advanced lung cancer invading contiguously through the pulmonary veins to the right main pulmonary artery and left atrium. Tumor embolism is a rare cause of stroke, occurring with primary or metastatic neoplasms of the lung. Echocardiography is a useful tool in patients with cerebral embolic episodes.

摘要

我们描述了一名72岁男性，因右侧额颞叶急性脑梗死出现左侧偏瘫。入院前三个月，他因左侧大脑前动脉区域急性脑梗死导致右侧偏瘫而住院。为了探究其复发性栓塞事件的原因，进行了胸部计算机断层扫描和超声心动图检查，结果显示晚期肺癌通过肺静脉连续侵犯至右主肺动脉和左心房。肿瘤栓塞是中风的罕见病因，发生于原发性或转移性肺肿瘤。超声心动图对于脑栓塞发作的患者是一种有用的检查手段。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e244/3021894/6983e236fddf/jcu-18-148-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e244/3021894/b458daf3ceec/jcu-18-148-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e244/3021894/5bc934a8ae6d/jcu-18-148-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e244/3021894/6983e236fddf/jcu-18-148-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e244/3021894/b458daf3ceec/jcu-18-148-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e244/3021894/5bc934a8ae6d/jcu-18-148-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e244/3021894/6983e236fddf/jcu-18-148-g003.jpg

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Small Cell Lung Cancer Invading the Left Atrium With Subsequent Malignant Embolic Stroke: A Case Report and Review of Literature.小细胞肺癌侵犯左心房并继发恶性栓塞性中风：一例报告及文献复习
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