A case of chronic expanding hematoma resulting in fatal hemoptysis

被引：9

作者：

Hata, Yoshinobu ^{[1
]}

Sakamoto, Susumu ^{[2
]}

Shiraga, Nobuyuki ^{[3
]}

Sato, Keita ^{[2
]}

Sato, Fumitomo ^{[1
]}

Otsuka, Hajime ^{[1
]}

Goto, Hidenori ^{[1
]}

Takagi, Keigo ^{[1
]}

Watanabe, Yoshinori ^{[4
]}

机构：

[1] Toho Univ, Omori Med Ctr, Dept Chest Surg, Tokyo 1438541, Japan

[2] Toho Univ, Omori Med Ctr, Dept Resp Med, Tokyo 1438541, Japan

[3] Toho Univ, Omori Med Ctr, Dept Radiol, Tokyo 1438541, Japan

[4] Toho Univ, Omori Med Ctr, Dept Cardiac Surg, Tokyo 1438541, Japan

来源：

JOURNAL OF THORACIC DISEASE | 2012年 / 4卷 / 05期

关键词：

Chronic expanding hematoma; fluorodeoxyglucose F18 positron-emission tomography; gallium-67; scintigraphy; pyothorax associated lymphoma; trans-arterial embolization; PYOTHORAX-ASSOCIATED LYMPHOMA; THORAX;

D O I：

10.3978/j.issn.2072-1439.2012.08.14

中图分类号：

R56 [呼吸系及胸部疾病];

学科分类号：

摘要：

An 80-year-old woman presented with a huge intrathoracic mass which had increased in size over 4 years. Computed tomography showed a thick calcified capsule and early-enhanced streaks inside the mass. Needle biopsy aspirated pure blood and fibrous connective tissue. F-18 fluorodeoxyglucose positron-emission tomography showed moderate FDG uptake at the periphery with central photon defects. Gallium-67 scintigraphy showed no abnormal uptake. On suspicion of chronic expanding hematoma, we recommended surgical resection, but the patient requested only follow-up. One year later, she was hospitalized with cardiac tamponade and subsequent massive hemoptysis. Repeated embolization was ineffective, and the patient soon succumbed.

引用

页码：508 / 511

页数：4

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