Yamakawa Hideaki, Yoshida Masahiro, Yamada Masami, Ishikawa Takeo, Takagi Masamichi, Katagi Hiroaki, Yoshida Jun, Kosuga Tsuneharu, Kuwano Kazuyoshi
Division of Respiratory Medicine, Department of Internal Medicine, Jikei University School of Medicine, Kashiwa Hospital Chiba, Japan.
Division of Diagnostic Pathology, Jikei University School of Medicine, Kashiwa Hospital Chiba, Japan.
Clin Case Rep. 2015 Sep;3(9):735-9. doi: 10.1002/ccr3.330. Epub 2015 Jul 29.
PTTM (Pulmonary tumor thrombotic microangiopathy) is very difficult to diagnose before death. We report a case of urothelial carcinoma of the urinary bladder associated with PTTM in which an antemortem diagnosis by PMC (pulmonary microvascular cytology). PMC may represent the only chance for diagnosis and achievement of remission in PTTM.
肺肿瘤血栓性微血管病(PTTM)在死亡前很难诊断。我们报告一例膀胱尿路上皮癌合并PTTM的病例,该病例通过肺微血管细胞学(PMC)进行了生前诊断。PMC可能是PTTM诊断及实现缓解的唯一机会。