Pulmonary Vein Tumor Thrombus With Intracardiac Extension Secondary to Poorly Differentiated Bronchogenic Carcinoma.

left atrial tumor thrombus pulmonary vein thrombosis pulmonary vein tumor thrombus

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
25 May 2020
Historique:
entrez: 1 7 2020
pubmed: 1 7 2020
medline: 1 7 2020
Statut: epublish

Résumé

Pulmonary vein thrombosis (PVT) is a rarely encountered disease entity with varied clinical presentations. It has been reported to be associated with underlying lung malignancy in multiple case reports. Diagnosis can be challenging due to nonspecific symptoms on presentation. Herein, we report a 67-year-old male patient with a history of extensive smoking and chronic obstructive pulmonary disease (COPD) who presented with multiple hemoptysis episodes. CT scan of the chest with contrast showed multiple right lower lobe (RLL) lung masses and a thrombus in the inferior pulmonary vein. After various imaging modalities and transthoracic biopsy of the lung mass, the patient was diagnosed with pulmonary vein tumor thrombus secondary to poorly differentiated bronchogenic carcinoma with intracardiac extension. The patient was started on Eliquis for anticoagulation and is currently in the process of beginning chemo/radiation therapy for the underlying malignancy.

Identifiants

pubmed: 32601554
doi: 10.7759/cureus.8278
pmc: PMC7317124
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e8278

Informations de copyright

Copyright © 2020, Faiek et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

Références

Medicine (Baltimore). 2015 Nov;94(46):e1853
pubmed: 26579798
Ann Thorac Surg. 2013 Dec;96(6):e135-6
pubmed: 24296222
Oncol Lett. 2016 Mar;11(3):2229-2232
pubmed: 26998153
J Thorac Dis. 2018 Jan;10(1):E46-E51
pubmed: 29600103
Radiol Case Rep. 2018 Sep 13;13(6):1170-1173
pubmed: 30233753
Cureus. 2017 Jan 23;9(1):e993
pubmed: 28265529
Asian Cardiovasc Thorac Ann. 2015 Jan;23(1):75-7
pubmed: 24887925
J Surg Case Rep. 2018 Jun 25;2018(6):rjy144
pubmed: 29977517
World J Cardiol. 2016 Nov 26;8(11):684-688
pubmed: 27957255
Case Rep Pulmonol. 2018 Jul 19;2018:6096704
pubmed: 30112241

Auteurs

Saif Faiek (S)

Internal Medicine, AtlantiCare Regional Medical Center, Atlantic City, USA.

Ishita Malik (I)

Internal Medicine, AtlantiCare Regional Medical Center, Atlantic City, USA.

Rhea Farquhar (R)

Internal Medicine, AtlantiCare Regional Medical Center, Atlantic City, USA.

Vikram Lal (V)

Internal Medicine, AtlantiCare Regional Medical Center, Atlantic City, USA.

Aditya Bansal (A)

Internal Medicine/Pulmonary & Critical Care Medicine, AtlantiCare Regional Medical Center, Atlantic City, USA.

Classifications MeSH