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]
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]
A 25-year-old young man was admitted to our hospital with complaints of sudden onset chest pain and dyspnea. Physical examination revealed a respiratory rate of 30/min and a blood pressure of 110/70 mmHg. [go.gale.com]
Patients typically present with dyspnea and pleuritic chest pain and signs of cor pulmonale that develop over weeks to months. [merckmanuals.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]
X-Ray
- Bilateral Atelectasis
A chest x-ray was obtained which revealed bilateral atelectasis. Suspicion of a pulmonary embolism remained high and confirmatory testing was performed with a computed tomography (CT) chest (Fig. 1b). [wjso.biomedcentral.com]
Other ECG Findings
- Ischemic Changes
Troponin T levels were also elevated (402 ng/L, n < 14) without ischemic changes on EKG. Transaminases and bilirubin were elevated, whereas GGT, ALP, sedimentation rate, creatinine, and autoimmune work-up were all normal. [journals.sagepub.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]
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]
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]
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]
The prognosis is poor and the median survival from diagnosis is a few weeks. Interventions are rarely performed. [scitechnol.com]
Most of patients with EMPD have a good prognosis, but invasive EMPD with regional metastasis has a poor prognosis [ 2 ]. A few cases show aggressive manifestations of EMPD with systemic metastasis [ 2 ]. [jsms.sch.ac.kr]
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
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]
A wide range of disorders can cause such signs with different pathophysiological processes. [hindawi.com]
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]
To prevent compartment syndrome by revascularization, additional mini-fasciotomy on the right lower extremity was performed. [kjccm.org]
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]
Early splinting of fractures of long bones and operative rather than external fixation are thought to help prevent fat embolism. [merckmanuals.com]