肺瘤血栓性微血管病变与子宫内膜癌相关:一个病例报告
Risa Beppu1, Kayoko Kubota1, Noriko Iwatani1
1Departments of Cardiovascular Medicine and Hypertension, Graduate School of Medical and Dental Sciences, Kagoshima University, Kagoshima, Japan.
Journal of cardiology cases
|October 23, 2025
概括
肺瘤血栓性微血管病变 (PTTM) 是一种罕见的,致命的癌症并发症. 这份病例报告详细介绍了子宫内膜癌的PTTM,强调了呼吸衰竭患者的早期诊断.
科学领域:
- 在瘤学瘤学.
- 肺部医学 肺部医学
- 病理学 病理学 病理学
背景情况:
- 肺瘤血栓性微血管病变 (PTTM) 是一种关键的,往往致命的癌症并发症.
- 诊断是具有挑战性的,许多病例是在死后确诊的.
- 通常与胃,乳腺和肺癌有关.
研究的目的:
- 报告来自子宫内膜癌的第一个PTTM病例.
- 强调在特定的临床场景中考虑PTTM的重要性.
- 强调需要进行广泛的癌症研究.
主要方法:
- 一个患有晚期呼吸衰竭和肺高血压的病人的病例报告.
- 诊断潜在的子宫内膜癌.
- 肺栓塞的临床怀疑和排除.
主要成果:
- 这名患者被诊断患有PTTM,这是子宫内膜癌的次要症状.
- 这代表了从子宫内膜初级中获得PTTM的第一个记录实例.
- 这一案例强调了PTTM与不太常见的恶性瘤的潜在关联.
结论:
- 在没有活跃癌症的情况下,在患有不明原因的肺高血压和迅速恶化的呼吸障碍的患者中怀疑PTTM.
- 调查常见类型之外的潜在恶性瘤.
- 及时的病理评估对于诊断和治疗规划至关重要.
相关概念视频
Pulmonary Embolism I: Introduction
504
Pulmonary embolism (PE) occurs when a thrombus, fat or air embolus, amniotic fluid, or tumor tissue blocks one or more pulmonary arteries. These blockages originate in the venous system or the right side of the heart.EtiologyPE primarily arises from deep vein thrombosis (DVT) and other hypercoagulable states, such as inherited thrombophilias. Additional etiological factors include venous stasis, commonly seen in obesity, and endothelial injury from surgery and trauma. Less common causes include...
504
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
311
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
311
Pulmonary Embolism III: Nursing Management
353
A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...
353
Treatment for Pulmonary Arterial Hypertension: Endothelin Receptor Antagonists
438
Endothelins (ETs) are potent vasoactive peptides critical in the human body's various physiological and pathological processes. One of the most promising therapeutic strategies for treating pulmonary arterial hypertension (PAH) involves counteracting the effects of these endothelins using a class of drugs known as endothelin receptor antagonists.
ETs are synthesized through a complex sequence of enzymatic steps, primarily involving an enzyme referred to as endothelin-converting enzyme...
ETs are synthesized through a complex sequence of enzymatic steps, primarily involving an enzyme referred to as endothelin-converting enzyme...
438


