Bravos E, Bayle-Bleuez S, Wahart A, Lachèze R, Forest F, Guichard J-B, Bertoletti L
Service de pneumologie et oncologie thoracique, CHU de St-Étienne, 42100 St-Étienne, France.
Service de médecine nucléaire, CHU de St-Étienne, 42100 St-Étienne, France.
Rev Mal Respir. 2017 Mar;34(3):249-252. doi: 10.1016/j.rmr.2016.05.011. Epub 2016 Sep 13.
A 60-year-old patient was under follow-up for pulmonary hypertension consistent with pulmonary veno-occlusive disease. During his follow-up, a parenchymal opacity was discovered. We describe the management of the suspicion of lung cancer, highlighting the modification of the conventional diagnostic and therapeutic strategy on account of the pulmonary hypertension. Chest physicians should be able to adapt their diagnostic and therapeutic management in the case of neoplasia in patients with severe pulmonary hypertension.
一名60岁的患者因符合肺静脉闭塞性疾病的肺动脉高压而接受随访。在随访期间，发现了实质性混浊。我们描述了对肺癌疑似病例的处理，强调了鉴于肺动脉高压而对传统诊断和治疗策略的调整。胸部科医生应该能够在严重肺动脉高压患者发生肿瘤时调整其诊断和治疗管理。
