Bae Kyoungkyg, Kwon Woon-Jung, Choi Seong Hoon, Lee Jong Hwa, Cha Hee Jeong
Department of Diagnostic Radiology, Ulsan University Hospital, University of Ulsan School of Medicine, Ulsan 682-714, Korea.
Department of Pathology, Ulsan University Hospital, University of Ulsan School of Medicine, Ulsan 682-714, Korea.
Korean J Radiol. 2015 Jul-Aug;16(4):936-41. doi: 10.3348/kjr.2015.16.4.936. Epub 2015 Jul 1.
Pulmonary tumor embolism is commonly discovered at autopsy, but is rarely suspected ante-mortem. Microangiopathy is an uncommon and distinct form of simple tumor pulmonary embolism. Here, we present a 52-year-old male with tumor thrombotic microangiopathy and pulmonary infarction, which might have originated from intraductal papillary mucinous tumor of the pancreas. Multiple wedge-shaped consolidations were found initially and aggravated with cavitation. These CT features of pulmonary infarction were pathologically confirmed to result from pulmonary tumor thrombotic microangiopathy.
肺肿瘤栓塞通常在尸检时发现,但生前很少被怀疑。微血管病是单纯肿瘤肺栓塞的一种罕见且独特的形式。在此,我们报告一名52岁男性,患有肿瘤性血栓性微血管病和肺梗死,可能起源于胰腺导管内乳头状黏液性肿瘤。最初发现多个楔形实变,并伴有空洞形成而加重。这些肺梗死的CT特征经病理证实是由肺肿瘤血栓性微血管病所致。