Prioleau P G, Katzenstein A L
Cancer. 1978 Oct;42(4):2009-14. doi: 10.1002/1097-0142(197810)42:4<2009::aid-cncr2820420449>3.0.co;2-q.
Four cases of major peripheral arterial occlusion due to malignant tumor emboli are reported. All of the emboli originated from primary lung carcinomas, three following resection of the lung tumor, and the fourth occurring spontaneously before discovery of the lung primary. Each patient underwent successful embolectomy and was discharged without any related deficits. Their survival ranged from three to seven months. These cases emphasize the possibility of tumor embolism either spontaneously or following surgical manipulation. Early pulmonary vein ligation and, if indicated, intrapericardial ligation should be performed at the time of resection to try to prevent this complication.
报告了4例因恶性肿瘤栓子导致的主要外周动脉闭塞病例。所有栓子均起源于原发性肺癌，其中3例在肺肿瘤切除后发生，第4例在发现肺部原发肿瘤之前自发出现。每位患者均成功接受了栓子切除术，出院时无任何相关功能缺损。他们的生存时间为3至7个月。这些病例强调了肿瘤栓子自发形成或在手术操作后出现的可能性。在切除时应进行早期肺静脉结扎，如果有指征，还应进行心包内结扎，以试图预防这种并发症。
