A Case of Small Cell Carcinoma Causing Budd-Chiari Syndrome with Tumor Thrombus of Inferior Vena Cava.

概要

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A 68-year-old man was admitted to our hospital with edema of the bilateral lower extremities and multiple cervical and mediastinal lymphadenopathy. Histological examination of the cervical lymph node biopsy specimen revealed small cell carcinoma. Through systemic examination, liver and adrenal metastasis was diagnosed with no other suspected primary lesion except in the mediastinum. We diagnosed that he had an extensive case of small cell lung cancer with acute Budd-Chiari syndrome due to the obstruction of the inferior vena cava and hepatic veins by the liver, adrenal metastasis and tumor thrombus. Progressive edema of the lower limbs, venous dilatation in the abdominal wall and hepatomegaly were noted. Chemotherapy brought temporary relief, but he died 6 months after the onset because acute Budd-Chiari syndrome recurred. This patient was a rare example of Budd-Chiari syndrome complicated with lung carcinoma and small cell carcinoma.
特定非営利活動法人日本肺癌学会の論文