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A case report of pulmonary tumor thrombotic microangiopathy (PTTM) caused by esophageal squamous cell carcinoma

机译:食管鳞状细胞癌引起的肺肿瘤血栓性微血管病(PTTM)一例

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摘要

A 67-year-old male was referred to our hospital after being diagnosed with esophageal squamous cell carcinoma of the middle thoracic esophagus. The clinical stage was Tlb(sm)N4Ml cStage IVb, so he was admitted to our hospital for systemic chemotherapy. He had sustained fever and a dry cough. Chest computed tomography showed the presence of irregular shadows, and unidentified respiratory insufficiency had progressed. A transbronchial lung biopsy revealed a pulmonary artery tumor embolus of esophageal squamous cell carcinoma. He developed DIC and died of respiratory failure on the 19th hospital day. The postmortem autopsy detected pulmonary tumor thrombotic microangiopathy accompanied by esophageal squamous cell carcinoma.
机译:一名67岁的男性被诊断出患有中胸段食道的食道鳞状细胞癌后被转诊到我院。临床阶段为Tlb(sm)N4Ml cStage IVb,因此他被送入我们医院接受全身化疗。他持续发烧和干咳。胸部计算机断层扫描显示不规则阴影的存在,并且不确定的呼吸功能不全已经进展。经支气管肺活检发现食管鳞状细胞癌有肺动脉肿瘤栓塞。他发展了DIC,并在医院第19天因呼吸衰竭去世。尸检后发现肺部肿瘤血栓性微血管病伴食管鳞状细胞癌。

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