Diffuse tumor microembolism: a rare cause of a high-probability perfusion scan.

Abstract:

:Pulmonary tumor embolism is a rare but well-documented cause of respiratory failure in patients with cancer. This entity is probably clinically underrecognized and may represent an important cause of morbidity and mortality. A typical pattern of multiple peripheral subsegmental defects on perfusion lung scanning has been described. We present a case of a unilateral near absence of perfusion in a 53-year-old woman who on autopsy was found to have diffuse tumor microembolism. As new chemotherapeutic agents are developed for the treatment of malignancies, an early diagnosis may become more important. A high-probability perfusion scan should not dissuade the clinician from pursuing further evaluation. Cytologic findings of pulmonary venous blood may be diagnostic.

journal_name

Chest

journal_title

Chest

authors

Moores LK,Burrell LM,Morse RW,Belgrave CH,Balingit AG

doi

10.1378/chest.111.4.1122

subject

Has Abstract

pub_date

1997-04-01 00:00:00

pages

1122-5

issue

4

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(15)46882-5

journal_volume

111

pub_type

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