Hibino Makoto, Akazawa Kenichiro, Hikino Koji, Oe Motoki
Department of Respiratory Medicine, Chigasaki Tokusyukai Medical Center, Japan.
Intern Med. 2012;51(18):2603-7. doi: 10.2169/internalmedicine.51.7220. Epub 2012 Sep 15.
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.
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。