一个不寻常的非细菌性血栓内心炎病例,可归因于恶性瘤
Luis E Santiago1, Winy Kujundzic1, Stephanie Wong1
1Internal Medicine, Hospital Corporation of America (HCA) Florida Westside Hospital, Plantation, USA.
Cureus
|October 9, 2023
概括
非细菌性血栓性内心炎 (NBTE) 与肺癌有关. 这一案例突出显示了患有腺癌的患者的NBTE,该患者出现了动脉封闭和神经事件,最终导致过期.
科学领域:
- 心脏病学 心脏病学
- 在瘤学瘤学.
- 病理学 病理学 病理学
背景情况:
- 非细菌性血栓性内心炎 (NBTE),或性内心炎,涉及在没有感染的情况下在心脏膜上沉积纤维素.
- NBTE通常与恶性瘤和高凝血状态有关.
研究的目的:
- 在新诊断的肺腺癌患者中报告NBTE病例.
- 为了说明NBTE的临床表现,诊断挑战和并发症.
主要方法:
- 转食管回声心脏图 (TEE) 用于评估心脏门.
- 计算机断层扫描 (CT) 用于胸部成像.
- 动脉超声波用于外周血管评估.
- 活检用于肺部质量的组织病理学诊断.
主要成果:
- 一名60岁的男性患有肺腺癌,患有NBTE.
- NBTE表现为大动脉植被,导致左下肢动脉封闭.
- 患者在治疗后经历了双侧尾心脏病发作,并过期.
结论:
- NBTE可能是肺腺癌的副瘤表现.
- 早期识别和治疗NBTE及其栓塞性并发症至关重要.
- 这一案例凸显了NBTE的潜在严重程度和系统影响.
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