Salvage surgery for primary lung cancer complicated with Trousseau's syndrome after chemotherapy: a case report.
Salvage surgery
Trousseau’s syndrome
adenocarcinoma
chemotherapy
lung cancer
thrombosis
Journal
AME case reports
ISSN: 2523-1995
Titre abrégé: AME Case Rep
Pays: China
ID NLM: 101730832
Informations de publication
Date de publication:
2020
2020
Historique:
received:
20
06
2019
accepted:
21
11
2019
entrez:
25
3
2020
pubmed:
25
3
2020
medline:
25
3
2020
Statut:
epublish
Résumé
A 65-year-old man was admitted to our hospital due to an abnormal shadow on chest radiographs. Chest computed tomography (CT) revealed a tumor (diameter: 38 mm × 27 mm) and another small nodule in the left upper lobe of the lung, which were accompanied by lymphangitis of the left upper lobe. The patient underwent a transbronchial lung biopsy, following which he was diagnosed with lung adenocarcinoma. Contrast-enhanced CT and ultrasound imaging revealed bilateral pulmonary artery thrombosis and multiple venous thromboses. He was thus diagnosed with stage IIB lung cancer complicated by Trousseau's syndrome. Chemotherapy was initiated using platinum doublets, while infusions of unfractionated heparin and Xa inhibitor were administered for anticoagulant therapy. Following chemotherapy, the main tumor had shrunk, and his lymphangitis, pulmonary artery thrombosis, and multiple venous thromboses had resolved. We then could perform a left upper lobectomy and lymph node dissection safely.
Identifiants
pubmed: 32206749
doi: 10.21037/acr.2019.11.05
pii: acr-04-2019.11.05
pmc: PMC7082236
doi:
Types de publication
Case Reports
Langues
eng
Pagination
3Informations de copyright
2020 AME Case Reports. All rights reserved.
Déclaration de conflit d'intérêts
Conflicts of Interest: The authors have no conflicts of interest to declare.
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