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ID 56078
JaLCDOI
フルテキストURL
Thumnail 72_3_309.pdf 7.26 MB
著者
Katayama, Satoshi Department of Urology, St.Mary's Hospital
Takenaka, Tadasu Department of Urology, Red Cross Okayama Hospital
Nakamura, Aya Department of Urology, Okayama Saiseikai General Hospital
Sako, Sinichi Department of Urology, Okayama Saiseikai General Hospital
Bessho, Akihiro Department of Respiratory Medicine, Red Cross Okayama Hospital
Ohara, Nobuya Department of Pathology, Kagawa Rosai Hospital
抄録
Pulmonary tumor thrombotic microangiopathy (PTTM) is a fatal, malignancy-related respiratory complication; we herein report a PTTM case induced by metastatic prostate cancer. An 81-year-old Japanese man developed dyspnea. High-resolution computed tomography (HRCT) revealed ground-glass opacities spread across bilateral lung fields. Pulmonary microvascular aspiration cytology detected prostate cancer cells. As PTTM was highly suspected, docetaxel chemotherapy was performed immediately. His respiratory condition and HRCT findings improved temporarily, but he died approx. 6 weeks after admission. Autopsy showed fibrocellular intimal proliferation of small pulmonary arterioles, which confirmed the diagnosis of PTTM induced by prostate cancer. As in the present case, it is often difficult to confirm the presence of not only tumor embolization but also fibrocellular intimal proliferation before the patient’s death.
キーワード
autopsy
dyspnea
prostate neoplasm
metastatic lung cancer
thrombotic microangiopathy
Amo Type
Case Report
発行日
2018-06
出版物タイトル
Acta Medica Okayama
72巻
3号
出版者
Okayama University Medical School
開始ページ
309
終了ページ
313
ISSN
0386-300X
NCID
AA00508441
資料タイプ
学術雑誌論文
言語
English
著作権者
CopyrightⒸ 2018 by Okayama University Medical School
論文のバージョン
publisher
査読
有り
PubMed ID