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继发于子宫体癌肉瘤的肺肿瘤栓塞,酷似肺血栓栓塞。

Pulmonary tumor embolism secondary to uterine corpus carcinosarcoma mimicking pulmonary thromboembolism.

作者信息

Hibino Makoto, Akazawa Kenichiro, Hikino Koji, Oe Motoki

机构信息

Department of Respiratory Medicine, Chigasaki Tokusyukai Medical Center, Japan.

出版信息

Intern Med. 2012;51(18):2603-7. doi: 10.2169/internalmedicine.51.7220. Epub 2012 Sep 15.

Abstract

We herein report a case of pulmonary tumor embolism caused by hematogenous metastasis that mimicked pulmonary thromboembolism in a 62-year-old Japanese woman with a history of uterine corpus carcinosarcoma. The case suggests that tumor embolism must be included in the differential diagnoses of respiratory symptoms in patients with a history of malignancy. It also illustrates the usefulness of such findings as beaded, dilated pulmonary arteries by computed tomography (CT) and high (18)F-fluorodeoxyglucose (FDG) uptake by fusion FDG positron emission tomography/CT imaging for differentiating a pulmonary tumor embolism from pulmonary thromboembolism.

摘要

我们在此报告一例由血行转移引起的肺肿瘤栓塞病例,该病例在一名有子宫体癌肉瘤病史的62岁日本女性中表现类似肺血栓栓塞。该病例提示,在有恶性肿瘤病史的患者出现呼吸道症状时,鉴别诊断中必须考虑肿瘤栓塞。它还说明了计算机断层扫描(CT)显示的串珠状、扩张的肺动脉以及融合的氟代脱氧葡萄糖(FDG)正电子发射断层扫描/CT成像显示的高FDG摄取等表现对于区分肺肿瘤栓塞和肺血栓栓塞的有用性。

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