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| 題 名 | Metastatic Calcification with Pulmonary Edema from Transitional Cell Carcinoma of the Urinary Bladder--A Case Report=膀胱移形上皮癌合併轉移性鈣化併發肺水腫--病例報告 |
|---|---|
| 作 者 | 許永祥; 李明勳; | 書刊名 | 慈濟醫學 |
| 卷 期 | 17:5 民94.10 |
| 頁 次 | 頁345-347+384 |
| 分類號 | 415.837 |
| 關鍵詞 | 高血鈣; 轉移性鈣化; 肺水腫; 副腫瘤症候群; Hypercalcemia; Metastatic calcification; Pulmonary edema; Paraneoplastic syndrome; |
| 語 文 | 英文(English) |
| 中文摘要 | 高血鈣是很常見的副腫瘤症候群,移形上皮癌合併高血鈣很少見。高血鈣會導致轉移性鈣化。我們報告一例37歲男性膀胱移形上皮癌病例,在他最後一次入院期間發現高血鈣(5.3 -5.6 mmol/L),最後併發肺水腫而往生。解剖證實轉移性鈣化侵犯腎小管、胃黏膜、肺臟微血管、唾液腺管及胰臟。同時合併明顯肺水腫。總結,移形上皮癌會引發高血鈣併發轉移性鈣化合併大量肺水腫而往生。因此對於惡性腫瘤病患合併高血鈣要小心治療避免發生肺水腫。 |
| 英文摘要 | Hypercalcemia is a common paraneoplastic syndrome. Transitional cell carcinoma-associated hypercalcemia is rare. Hypercalcemia may develop metastatic calcification. We present a 37-year-old man with transitional cell carcinoma of urinary bladder for many years. In his last admission, a high serum calcium level (5.3-5.6 mmol/L) was noted. Finally, he died of pulmonary edema. An autopsy proved metastatic calcification involved renal tubules, stomach mucosa, and capillary walls of the lungs, salivary ducts and pancreatic ducts. In addition, massive pulmonary edema was also noted. In conclusion, transitional cell carcinoma of urinary bladder may induce hypercalcemia and metastatic calcifications with massive pulmonary edema. So, careful treatment for hypercalcemia in malignancy is important as regards the occurrence of metastatic calcification-associated pulmonary edema. |
本系統中英文摘要資訊取自各篇刊載內容。