Pulmonary Tumor Embolism as an Initial Manifestation of Cervical Cancer-A Case Report

以肺腫瘤栓塞為初始表現之子宮頸癌－病例報告

陳運嵩(Yun-Sung Chen) ； 王鶴健(Hao-Chien Wang) ； 張逸良(Yih-Leong Chang) ； 楊泮池(Pan-Chyr Yang)

《胸腔醫學》 19卷2期 (2004/04) Pp. 162-167

https://doi.org/10.29806/TM.200404.0013

摘要

以肺腫瘤栓塞為初始表現的子宮頸癌非常罕見。由於缺乏特定的臨床表現，又沒有非侵襲性的檢查可以確定診斷，使此種疾病的診斷更加困難。診斷上的延遲及不可逆的心肺病變，為其預後不佳的主因。因此，保持高度的警覺，將有助於疾病的早期診斷。我們報告一位五十八歲的子宮頸癌病，以肺腫瘤栓塞為癌症的初始表現。其早期的臨床表現以亞急性肺心症之症狀為主，最後則因為大量的腫瘤栓塞造成病情急速惡化而死亡。其放射學檢查及病理切片結果亦呈現典型的肺腫瘤栓塞變化。

關鍵字

肺腫瘤栓塞 ； 子宮頭癌 ； 鱗狀細胞癌

並列摘要

Pulmonary tumor embolism is rarely the initial manifestation of cervical cancer. It is difficult to obtain a definite diagnosis because there are neither specific clinical presentations nor noninvasive diagnostic tests. A poor prognosis is expected because of the delay in diagnosis and the consequent irreversible cardiopulmonary alterations. However, a high index of suspicion may help in the early diagnosis of this disease. Herein, we present a 58-year-old female patient with cervical cancer that initially manifested as pulmonary tumor embolism. The subacute onset of symptoms related to cor pulmonale with rapid deterioration and mortality because of massive tumor embolism are noted in the case. Radiographic studies and pathological findings are demonstrated as well.

並列關鍵字

pulmonary tumor embolism ； cervical cancer ； squamous cell carcinoma