| 論文種別 | 原著(症例報告除く) |
| 言語種別 | 英語 |
| 査読の有無 | その他(不明) |
| 表題 | Pulmonary Tumor Thrombotic Microangiopathy Caused by a Parotid Tumor: Early Antemortem Diagnosis and Long-term Survival. |
| 掲載誌名 | 正式名：Internal medicine (Tokyo, Japan) |
| 掲載区分 | 国内 |
| 巻・号・頁 |
56(1),pp.67-71 |
| 著者・共著者 | Haruka Toyonaga,Michiko Tsuchiya,Chikara Sakaguchi,Hitomi Ajimizu,Yosuke Nakanishi,Seiya Nishiyama,Noboru Morikawa,Yasuyuki Hayashi,Yukio Nagasaka,Hiroshi Yasui |
| 発行年月 | 2017 |
| 概要 | Pulmonary tumor thrombotic microangiopathy (PTTM) is a high-mortality disease that is difficult to diagnose clinically. Our patient was an 80-year-old woman who came to us due to symptoms of increasing dyspnea. A clinical evaluation showed that she had hypoxemia and pulmonary arterial hypertension without any abnormalities in the major pulmonary arteries, bronchi, or alveoli. A lung perfusion scan showed multiple wedge-shaped perfusion defects. Further examination revealed adenocarcinoma in her right parotid gland with metastasis to the submandibular lymph nodes. We diagnosed her to have PTTM caused by a parotid tumor. The patient survived for 11 months with chemotherapy. An early antemortem diagnosis by minimally invasive examinations will help PTTM patients to survive longer. |
| DOI | 10.2169/internalmedicine.56.7439 |
| PMID | 28050002 |