An Autopsy Case of Subacute Cor Pulmonale Due to Pulmonary Tumor Cell Emboli in a Patient with Gastric Cancer
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概要
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A 53-year-old woman was admitted to our hospital due to a severe respiratory condition and malnutrition. Radiological and electrophysiological findings suggested the existence of inexplicable cor pulmonale. Although we commenced to determine the causes of her severe condition, she suddenly died 3 days after admission. Postmortem autopsy revealed tumor cell microemboli in the small pulmonary arteries due to gastric cancer. Such a case of cor pulmonale as the first clinical manifestation is exceptionally rare. Occult malignancy should be considered as a differential diagnosis when one encounters a patient with subacutely aggravated respiratory condition and inexplicable cor pulmonale.
著者
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Iwakami Shin-ichiro
Department Of Respiratory Medicine Juntendo University School Of Medicine
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Sato Teruhiko
Department Of Respiratory Medicine Juntendo University School Of Medicine
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YOSHIMI Kaku
Department of Respiratory Medicine
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Koyama Ryo
Department Of Respiratory Medicine Juntendo University School Of Medicine
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Takahashi Kazuhisa
Department Of Applied Chemistry Faculty Of Science Science University Of Tokyo
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Takagi Haruhi
Department of Respiratory Medicine, Juntendo University Shizuoka Hospital
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Fujii Mitsuhiro
Department of Respiratory Medicine, Juntendo University Shizuoka Hospital
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Iwakami Naoko
Department of Respiratory Medicine, Juntendo University Shizuoka Hospital
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Ichikawa Masako
Department of Respiratory Medicine, Juntendo University Shizuoka Hospital
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Yoshioka Masakata
Department of Respiratory Medicine, Juntendo University Shizuoka Hospital
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