A Case of Adenocarinoma of the Lung Associated with Multi-oragn Infarctions.
10.4046/trd.1997.44.5.1177
- Author:
Chang Whan PARK
1
;
Chung Hoon LEE
;
Jun Wha WHANG
;
Il Gwon JANG
;
Hyeong Kwan PARK
;
Young Chul KIM
;
Kyung Ok PARK
Author Information
1. Department of Internal Medicine, Chonnam University Medical School, Kwangju, Korea.
- Publication Type:Case Report
- Keywords:
Adenocarcinoma;
Lung;
Infarction
- MeSH:
Abdominal Pain;
Adenocarcinoma;
Biopsy;
Brain;
Cause of Death;
Cerebral Infarction;
Hemorrhage;
Humans;
Incidence;
Infarction*;
Lung*;
Lymph Nodes;
Male;
Middle Aged;
Prospective Studies;
Thrombosis;
Tomography, X-Ray Computed;
Venous Thrombosis
- From:Tuberculosis and Respiratory Diseases
1997;44(5):1177-1183
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The relationship between neoplastic disease and thromboembolic disorders has been recognized since 1865, when Armand Trousseau first reported a high incidence of venous thrombosis in a series of patients with gastric carcinoma. The overall incidence of thromboembolic disease in patients with cancer has been reported to vary 1% to 15%. In a prospective study, Ambrus and associates reported that thrombosis and/or bleeding was the second most common cause of death in hospitalized cancer patients. We report a case who presented as a thromboembolic disease and subsequently confirmed to have an underlying lung malignancy. This 45 years old male patient visited our hospital with abdominal pain and distention of 3 days duration. Abdominal CT scan revealed multiple splenic and renal infarctions. On 20th hospital day, drowsy mental status was developed and hemorrhagic cerebral infarction was noted in brain CT scan. Chest CT scan revealed a 4cm sized spiculated mass on left lung apex and multiple paratracheal lymph adenopathy. With surgical biopsy of left supraclavicular lymph nodes, this patient was confirmed to have adenocarcinoma.
