A case report of pulmonary tumor thrombotic microangiopathy (PTTM) caused by esophageal squamous cell carcinoma

被引：26
|
作者：
Fujishiro, Takeshi [1 ]
Shuto, Kiyohiko [2 ]
Shiratori, Toru [1 ]
Kono, Tuguaki [1 ]
Akutsu, Yasunori [1 ]
Uesato, Masaya [1 ]
Hoshino, Isamu [1 ]
Murakami, Kentaro [1 ]
Imanishi, Shunsuke [1 ]
Tochigi, Toru [1 ]
Yonemori, Yoko [3 ]
Matsubara, Hisahiro [1 ]
机构：
[1] Chiba Univ, Grad Sch Med, Dept Frontier Surg, Chuo Ward, Chiba 2608677, Japan
[2] Teikyo Univ, Chiba Med Ctr, Dept Surg, Ichihara, Chiba, Japan
[3] Chiba Univ, Grad Sch Med, Dept Diagnost Pathol, Chiba 2608677, Japan
来源：
ESOPHAGUS | 2013年 / 10卷 / 04期
关键词：
Pulmonary tumor thrombotic microangiopathy; PTTM; Esophageal squamous cell carcinoma; ENDOTHELIAL GROWTH-FACTOR; TISSUE FACTOR; IN-VIVO; EXPRESSION; ADENOCARCINOMA; STOMACH;
D O I：
10.1007/s10388-013-0382-8
中图分类号：
R57 [消化系及腹部疾病];
学科分类号：
摘要：
A 67-year-old male was referred to our hospital after being diagnosed with esophageal squamous cell carcinoma of the middle thoracic esophagus. The clinical stage was T1b(sm)N4M1 cStage IVb, so he was admitted to our hospital for systemic chemotherapy. He had sustained fever and a dry cough. Chest computed tomography showed the presence of irregular shadows, and unidentified respiratory insufficiency had progressed. A transbronchial lung biopsy revealed a pulmonary artery tumor embolus of esophageal squamous cell carcinoma. He developed DIC and died of respiratory failure on the 19th hospital day. The postmortem autopsy detected pulmonary tumor thrombotic microangiopathy accompanied by esophageal squamous cell carcinoma.
引用
收藏
页码：247 / 251
页数：5
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