查詢結果分析
相關文獻
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頁籤選單縮合
題名 | Pulmonary Thromboembolism Related to Progression of Duodenal Adenocarcinoma=十二指腸腺癌併發肺栓塞 |
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作者 | 梁逸歆; 徐志宏; | 書刊名 | 臺灣癌症醫學雜誌 |
卷期 | 27:1 2011.02[民100.02] |
頁次 | 頁37-41 |
分類號 | 416.243 |
關鍵詞 | 靜脈血栓栓塞; 肺栓塞; 十二指腸腺癌; Venous thromboembolism; Pulmonary embolism; Duodenal adenocarcinoma; |
語文 | 英文(English) |
中文摘要 | 靜脈血栓栓塞一般包括肺栓塞以及深靜脈血栓,是惡性腫瘤的一項主要併發症,且為不良預後因子之一。在此我們報告一位71 歲男性患者,診斷為第四期十二指腸腺癌。該患者於腫瘤惡化之際併發咳血的症狀,胸部電腦斷層證實有雙側肺栓塞。經抗凝血劑以及後續的化學治療後病情轉穩。雖然十二指腸腺癌合併肺栓塞相當罕見,但臨床醫師面臨懷疑狀況時候仍然必須擁有高度警覺性,並即進行必要的診斷與治療。 |
英文摘要 | Background: Venous thromboembolism (VTE), including deep vein thrombosis (DVT) and pulmonary thromboembolism (PTE), is one of the major complications of cancer, and is associated with poor prognosis. Case Description: Here we present a 71-year-old man with stage IV duodenal adenocarcinoma who developed intermittent hemoptysis and had increased serum D-dimer at the time of disease progression. Chest computed tomography showed prominent filling defects within bilateral main and branch pulmonary arteries. After treatment with low-molecular weight heparin and salvage chemotherapy with gemcitabine and oxaliplatin, the patient had disease stabilization and improved PTE for the following two months. Conclusions: Although the occurrence of PTE in duodenal adenocarcinoma patients is extremely rare, a high clinical suspicion plus prompt diagnostic procedures are indicated to facilitate proper treatment of this rare condition. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。