经支气管肺活检确诊的口咽癌肺部肿瘤栓塞病例。

IF 1 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Internal Medicine Pub Date : 2025-01-15 Epub Date: 2024-05-30 DOI:10.2169/internalmedicine.3596-24

Moriyasu Anai, Shohei Hamada, Takayuki Jodai, Hiroko Okabayashi, Koichi Saruwatari, Yusuke Tomita, Hidenori Ichiyasu, Takuro Sakagami

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引用次数: 0

摘要

肺部肿瘤栓塞（PTE）主要由腺癌引起。然而，口咽癌的病例却寥寥无几。我们在此报告了一名 47 岁的男性，他在口咽癌 II 期治疗 6 个月后出现发热、咳嗽和呼吸困难。胸部计算机断层扫描显示中心叶颗粒状和结节状阴影，胸膜下有合并症。经支气管肺活检显示，小血管内有大量鳞状肿瘤细胞形成栓子，因此诊断为口咽癌导致的 PTE。因此，有缺氧病史的患者应考虑 PTE。

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Pulmonary Tumor Embolism due to Oropharyngeal Carcinoma Diagnosed by a Transbronchial Lung Biopsy.

Pulmonary tumor embolisms (PTEs) are primarily caused by adenocarcinoma. However, only a few cases of oropharyngeal carcinoma have been reported. We herein report a 47-year-old man who presented with a fever, cough, and dyspnea 6 months after treatment for stage II oropharyngeal carcinoma. Chest computed tomography revealed centrilobular granular and nodular shadows and subpleural consolidation. A transbronchial lung biopsy revealed a mass of squamous tumor cells forming emboli in the small vessels, resulting in the diagnosis of PTE due to oropharyngeal carcinoma. Therefore, PTE should be considered for patients with a history of hypoxia.

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来源期刊

Internal Medicine 医学-医学：内科

CiteScore

1.90

自引率

8.30%

发文量

审稿时长

2.2 months

期刊介绍： Internal Medicine is an open-access online only journal published monthly by the Japanese Society of Internal Medicine. Articles must be prepared in accordance with "The Uniform Requirements for Manuscripts Submitted to Biomedical Journals (see Annals of Internal Medicine 108: 258-265, 1988), must be contributed solely to the Internal Medicine, and become the property of the Japanese Society of Internal Medicine. Statements contained therein are the responsibility of the author(s). The Society reserves copyright and renewal on all published material and such material may not be reproduced in any form without the written permission of the Society.