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肾细胞癌导致多发性肺栓塞:一例报告。

Multiple pulmonary emboli as a result of renal cell carcinoma: A case report.

作者信息

Li Bing, Zeng Hong, Ding Mei, Yang Ping, He Yuquan

机构信息

Department of Cardiology, China-Japan Union Hospital of Jilin University, Changchun, Jilin 130033, P.R. China.

出版信息

Oncol Lett. 2017 Jan;13(1):267-270. doi: 10.3892/ol.2016.5398. Epub 2016 Nov 21.

Abstract

Pulmonary embolism is the most prevalent and potentially fatal complication of deep vein thrombosis. Renal cell carcinoma (RCC) is occasionally associated with pulmonary embolism, occurring as a result of secondary hypercoagulable states or cancer-associated emboli. The current study describes the case of a 43-year-old male that experienced 'squeezing' pain in the chest, considered to mimic acute coronary syndrome. Following a number of diagnostic examinations, the patient was diagnosed with pulmonary embolism, which led to the detection of RCC. The patient did not experience any symptoms until the diagnosis of pulmonary embolism, therefore the asymptomatic tumor was considered as one of the possible causes. Abdominal ultrasonography examination is highly recommended for screening in all patients, particularly those that exhibit uncharacteristic symptoms, to improve the detection and diagnosis of RCC and associated pulmonary emboli.

摘要

肺栓塞是深静脉血栓形成最常见且可能致命的并发症。肾细胞癌(RCC)偶尔与肺栓塞相关,是继发高凝状态或癌症相关栓子导致的。本研究描述了一名43岁男性的病例,该患者经历胸部“压榨性”疼痛,被认为类似急性冠状动脉综合征。经过多项诊断检查,患者被诊断为肺栓塞,进而发现了肾细胞癌。该患者在诊断出肺栓塞之前未出现任何症状,因此无症状肿瘤被认为是可能的病因之一。强烈建议对所有患者进行腹部超声检查以进行筛查,尤其是那些表现出非典型症状的患者,以提高肾细胞癌及相关肺栓塞的检测和诊断。

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本文引用的文献

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Cancer-associated thrombosis.癌症相关血栓形成
Hematology Am Soc Hematol Educ Program. 2013;2013:684-91. doi: 10.1182/asheducation-2013.1.684.
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Management of acute aortic syndromes.急性主动脉综合征的管理。
Eur Heart J. 2012 Jan;33(1):26-35b. doi: 10.1093/eurheartj/ehr186. Epub 2011 Aug 2.
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Natural history of venous thromboembolism.静脉血栓栓塞症的自然病史。
Circulation. 2003 Jun 17;107(23 Suppl 1):I22-30. doi: 10.1161/01.CIR.0000078464.82671.78.

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