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Pulmonary Tumor Embolism
Arterial Embolism Pulmonary Tumor

Presentation

CASE PRESENTATION: A 36-year-old female presented with debilitating pain of the right upper extremity secondary to a recurrent soft tissue sarcoma. She had distant metastasis to the lung. [ncbi.nlm.nih.gov]

Case Presentation: An 18 year old man with a history of asthma presented to the ER complaining of sudden onset dyspnea and cough. Lung examination and a CXR were normal. [shmabstracts.com]

Entire Body System

  • Soft Tissue Mass

    The tumor mushroomed out of the bone, forming a large soft tissue mass with a sclerotic center measuring 13 × 13 × 9.5 cm. Tumor was identified on the margin of the amputation. [archivesofpathology.org]

  • Turkish

    Turkish Journal of Urology, vol. 38, no. 1, 2012, p. 44+. Accessed 21 Apr. 2020. Gale Document Number: GALE|A349724067 [go.gale.com]

Respiratoric

  • Dyspnea

    Pulmonary tumor embolism should be considered when patients with malignant disease develop unexplained dyspnea, hypoxemia, and pulmonary hypertension. [ncbi.nlm.nih.gov]

    The most common initial clinical symptom is subacute progressive dyspnea, and the initial laboratory evaluation typically shows hypoxemia in a patient with clear lung fields on a chest roentgenogram. [mayoclinic.pure.elsevier.com]

    Pleural effusions that cause sufficient compressive atelectasis may lead to a mismatch between ventilation and perfusion that can be manifested as dyspnea. Cardiac causes of dyspnea include coronary ischemia and congestive heart failure. [blogs.nejm.org]

Gastrointestinal

  • Right Flank Pain

    CASE REPORT A 22-year-old female presented with complaints of right flank pain and hematuria for six weeks. The patient described the pain as mild, dull, aching and non-radiating. [wjgnet.com]

Cardiovascular

  • Chest Pain

    We describe a patient who presented with chest pain and sudden shortness of breath. Autopsy disclosed diffuse pulmonary microembolism to septal capillaries caused by tumor cells from a squamous cell carcinoma of the cervix. [ncbi.nlm.nih.gov]

    […] of stress can also cause chest pain. [healthmoin.com]

    Malignancy Chief complaint In-hospital mortality Diagnostic methods used Atrial myxoma 9 Chest pain Cough Dyspnea Fever Shock 1 1 7 1 1 33,30% Autopsy CT Surgery PET CT 2 6 6 1 Bladder 4 Chest pain Dyspnea None 1 2 1 100% Autopsy Pulmonary angiogram 4 [hindawi.com]

    Patients typically present with dyspnea and pleuritic chest pain and signs of cor pulmonale that develop over weeks to months. [merckmanuals.com]

    If you do have symptoms, they can include shortness of breath, chest pain or coughing up blood. Symptoms of a blood clot include warmth, swelling, pain, tenderness and redness of the leg. [icdlist.com]

  • Retrosternal Chest Pain

    A 71-year-old man was admitted owing to an episode of retrosternal chest pain.   肺通气灌注扫描: 右肺大面积肺栓塞 。    [dy.163.com]

Urogenital

  • Testicular Mass

    A right testicular mass was found upon physical examination. A right orchiectomy operation was performed. Pathological investigation revealed a malignant mixed germinal tumor of the testicle. [go.gale.com]

Workup

To perform diagnostic workup and therapeutic interventions, such as embolectomy and pulmonary angiogram, ECMO is essential to maintain hemodynamic stability. [e-crt.org]

The patient had a workup that included an open biopsy, which was diagnosed as high-grade chondroblastic osteosarcoma (Figure 1). The patient subsequently underwent en bloc resection of the distal femur followed by amputation above the knee. [archivesofpathology.org]

Because of the routine use of US and beta-hCG in the workup of early gestational abnormalities, complete molar pregnancy rarely presents with the traditional signs. [clinicaladvisor.com]

Treatment

Currently, diagnosis of DMPTE is challenging and treatment is limited although advances of modern medicine. [ncbi.nlm.nih.gov]

He was given IV solumedrol and nebulizer treatments but did not improve however. Further history elicited mention of persistent right leg pain since two weeks after a long road trip. [shmabstracts.com]

Interventional Radiologists offer a number of treatments for the treatment and prevention of DVT and PE. [medstargeorgetown.org]

Prognosis

Because the prognosis and treatment differ from that of thrombotic pulmonary emboli, the differentiating imaging characteristics of intravascular tumor embolism are reviewed. [ncbi.nlm.nih.gov]

Prevention, and Complications Prognosis resolves typically in 4-6 weeks or within 2 weeks postpartum no risk of fetal or maternal morbidity Please rate topic. [step2.medbullets.com]

Abstract ABSTRACT Background: Tumor markers (TMs) and D-Dimer are both hallmarks of severity and prognosis of lung cancer. Tumor markers could be related to pulmonary embolism (PE) in lung cancer. [oncotarget.com]

The prognosis is poor and the median survival from diagnosis is a few weeks. Interventions are rarely performed. [scitechnol.com]

Conclusion Hepatocellular carcinoma with extension into hepatic and inferior vena cava has usually poor prognosis especially in patient with advanced Okuda staging. [ispub.com]

Etiology

Keywords Adenocarcinoma/blood/secondary — Autopsy — Breast Neoplasms/pathology — Diagnosis, Differential — Dyspnea/diagnosis/etiology — Fatal Outcome — Female — Fibrin Fibrinogen Degradation Products/metabolism — Heart Failure/blood/etiology — Humans [archive-ouverte.unige.ch]

Although cardiac metastases are more common than primary cardiac tumors, they still occur in only 1% of cancer patients, the most common etiology being lung adenocarcinoma.1 Pulmonary tumor embolism is a possible manifestation of cardiac metastasis, although [archbronconeumol.org]

If blisters are present, one should have a higher degree of suspicion for a different etiology such as pemphigoid gestationis. [aocd.org]

Fetal factors may contribute to the etiology, as it has been reported that a preponderance of male infants, with a male: female ratio of 2:1, are born to mothers with this disease. [dermatologyadvisor.com]

Etiology The cause of pruritic urticarial papules and plaques of pregnancy is still unknown, although various etiological theories have been proposed, including abdominal distension, hormonal changes, placental factors and the role of fetal DNA in skin [ncbi.nlm.nih.gov]

Epidemiology

Introduction Pruritic urticarial papules and plaques of pregnancy (PUPPP) or polymorphic eruption of pregnancy (PEP) A self-limited pruritic inflammatory disorder of the skin occurring in the last trimester of pregnancy or immediately postpartum Epidemiology [step2.medbullets.com]

Pruritic urticarial papules and plaques of pregnancy: epidemiological, clinical, and histopathological study of 18 cases from Lebanon. Int. J. Dermatol. 2012 Sep;51(9):1047-53. [PubMed: 22909357] 11. Holmes RC, Jurecka W, Black MM. [ncbi.nlm.nih.gov]

One European author proposes that early gestational papular dermatoses (usually atopic eruption of pregnancy) be referred to as "early-onset PEP," distinguished from "late-onset PEP". [4] Epidemiology Polymorphic eruption of pregnancy (PEP) occurs in [emedicine.medscape.com]

The increasing use of catheters and prosthetic vascular devices and increasing numbers of immunocompromised patients have changed the epidemiology. It is now an uncommon complication of IV drug use, presumably because of improved hygiene. [clinicaladvisor.com]

Pathophysiology

Authoritative, comprehensive and definitive, Pulmonary Circulation builds on the success of its previous two editions by providing practising respiratory physicians with a highly-ordered, unique reference work on the structure, function and pathophysiology [books.google.com]

Pathology Microscopic tumor embolism Thought to occur from two distinct pathophysiological processes. [radiopaedia.org]

A discussion of the pathophysiology, diagnosis and management of PTTM is presented. [casereports.bmj.com]

The clinicopathological syndrome of subacute cor pulmonale caused by tumor microemboli to the pulmonary vasculature is exceedingly rare, and details of its pathophysiology are sparse. [blogs.nejm.org]

Prevention

When tumor thrombosis has been detected or suspected, hepatic vascular exclusion should be considered for the prevention of intraoperative embolism. [ncbi.nlm.nih.gov]

Through the diploma thesis we can see that pulmonary embolism is a complex disease and that both patient and medical team must put in much effort to prevent all the causes that lead to pulmonary embolism. [dk.um.si]

Can I prevent PUPPP? Unfortunately, there are none. If you're going to get PUPPP, you're going to get it. Try to remember, though, that it's temporary and will disappear soon after your beautiful baby is born. [whattoexpect.com]

To prevent compartment syndrome by revascularization, additional mini-fasciotomy on the right lower extremity was performed. [kjccm.org]

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