Miyata Mami, Yoshida Nao, Ishizuka Mariko, Umezaki Nodoka, Yoshikawa Katsuhiro, Sueoka Noriko, Yamamoto Daigo, Sekimoto Mitsugu
Dept. of Surgery, Kansai Medical University Medical Center.
Gan To Kagaku Ryoho. 2020 Dec;47(13):1986-1987.
A 46-year-old woman with metastatic breast cancer developed dyspnea that progressed relatively rapidly during chemotherapy. Chest-abdominal CT revealed wedge-shaped infiltration shadow, and cardiac catheterization revealed elevated pulmonary artery pressure. Aspiration cytology of pulmonary arterial blood was performed and malignant cells were confirmed. Chemotherapy was difficult to continue because of deterioration in general condition, and she died 7 days after diagnosis. This time, we report a case of PTTM for which pulmonary arterial blood cytology was useful for diagnosis.
一名46岁的转移性乳腺癌女性在化疗期间出现呼吸困难，且进展相对较快。胸腹部CT显示楔形浸润影，心脏导管检查显示肺动脉压升高。进行了肺动脉血抽吸细胞学检查，确诊有恶性细胞。由于全身状况恶化，化疗难以继续，她在诊断后7天死亡。此次，我们报告一例肺动脉血细胞学检查对诊断有用的肺肿瘤血栓微血管病（PTTM）病例。
