[肺瘤血栓性微血管病变 - 病例报告]
Ran Ben David1, Rotem Gurfinkel1, Karen Nalbandyan2
1Department of Internal Medicine, Soroka University Medical Center.
Harefuah
|December 25, 2025
概括
肺瘤血栓性微血管病变 (PTTM) 是一种罕见的疾病,导致肺部阻塞. 早期诊断和治疗PTTM,甚至在确认之前,可以改善转移性癌症患者的结果.
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) 是一种罕见的致命疾病.
- 瘤细胞阻碍了肺微血管,导致肺高血压.
- 在死亡之前诊断PTTM的临床诊断非常罕见.
研究的目的:
- 在患有胃腺癌的患者中呈现PTTM病例.
- 要突出诊断挑战和成功的PTTM早期治疗.
- 讨论PTTM的临床影响,诊断和治疗方法.
主要方法:
- 一个51岁的女性患有胃腺癌的病例报告.
- 利用成像检测结果,实验室测试和心声回声扫描进行诊断.
- 在病理确认之前,根据临床怀疑启动向治疗.
主要成果:
- 患者出现了由于转移性疾病导致的急性呼吸道症状.
- 诊断工作引起了对PTTM的临床怀疑.
- 针对性的治疗是基于怀疑开始的,导致对结果的讨论.
结论:
- 即使没有病理确认,早期临床怀疑和治疗PTTM至关重要.
- 诊断PTTM需要一个多学科的方法,结合各种诊断工具.
- 对PTTM的诊断和治疗策略进行进一步研究是有必要的.
相关概念视频
Pulmonary Embolism I: Introduction
459
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...
459
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
274
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...
274
Pulmonary Embolism III: Nursing Management
315
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...
315
Pulmonary Hypertension: Classification and Pathogenesis
536
Pulmonary hypertension (PH) is a severe health condition in which the mean pulmonary arterial pressure increases to 25 mmHg or more, even when the body is at rest. This high pressure in the blood vessels that transport blood from the heart to the lungs can cause various symptoms, including shortness of breath, can lead to right heart failure, and significantly affect the overall quality of life.
There are various classifications for PH, each relating to different underlying causes and also...
There are various classifications for PH, each relating to different underlying causes and also...
536


