Pulmonary Tumor Thrombotic Microangiopathy Diagnosed Antemortem and Treated with Combination Chemotherapy
スポンサーリンク
概要
- 論文の詳細を見る
A 29-year-old man developed a persistent dry cough. Chest high-resolution computed tomography (HRCT) revealed centrilobular ultrafine granular shadows scattered in all lung fields. A lung biopsy with video-assisted thoracoscopic surgery revealed findings compatible with pulmonary tumor thrombotic microangiopathy (PTTM). However, the primary tumor was not identified. Combination chemotherapy with S-1 and cisplatin decreased his cough and improved the chest HRCT findings. The illness, however, gradually became difficult to control. He eventually developed pulmonary hypertension and died. Typically, an antemortem diagnosis of PTTM cannot be made. In this case, the diagnosis of PTTM and combination chemotherapy improved the chest HRCT findings, respiratory symptoms, and prognosis.
著者
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Andou Akio
Department Of Cancer And Thoracic Surgery Okayama University Graduate School Of Medicine And Dentist
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Matsuo Kiyoshi
Department Of Plastic And Reconstructive Surgery Shinshu University Graduate School Of Medicine
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Sato Toshio
Department Of Anatomy Sapporo Medical University
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Shigematsu Hisayuki
Department Of Cancer And Thoracic Surgery Okayama University Graduate School Of Medicine And Dentist
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Fujiwara Keiichi
Department Of Cardiovascular Surgery Amagasaki Hospital
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Yamadori Ichiro
Department of Clinical Pathology, National Hospital Organization Okayama Medical Center, Japan
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YAMADORI Ichiro
Department of Clinical Laboratory Medicine, National Hospital Organization Okayama Medical Center
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Matsuo Kiyoshi
Department of Respiratory Medicine, National Hospital Organization Okayama Medical Center, Japan
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Kayatani Hiroe
Department of Respiratory Medicine, National Hospital Organization Okayama Medical Center, Japan
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Ueda Yusuke
Department of Respiratory Medicine, National Hospital Organization Okayama Medical Center, Japan
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Matsushita Mizuho
Department of Respiratory Medicine, National Hospital Organization Okayama Medical Center, Japan
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Yonei Toshiro
Department of Respiratory Medicine, National Hospital Organization Okayama Medical Center, Japan
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Shigematsu Hisayuki
Department of Chest Surgery, National Hospital Organization Okayama Medical Center, Japan
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Sato Toshio
Department of Respiratory Medicine, National Hospital Organization Okayama Medical Center, Japan
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