Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Pulmonary Embolism Associated with Hepatocellular Carcinoma

원발성 간암과 동반된 폐동맥 색전증 1예

  • Lee, Young-Ho (Department of Internal Medicine, College of Medicine, Korea University) ;
  • Kown, Oh-Sang (Department of Internal Medicine, College of Medicine, Korea University) ;
  • Lee, Su-Eun (Department of Family Medicine, College of Medicine, Korea University) ;
  • Suh, Hong-Suk (Department of Internal Medicine, College of Medicine, Korea University) ;
  • Sim, Jae-Jung (Department of Internal Medicine, College of Medicine, Korea University) ;
  • Cho, Jae-Yeon (Department of Internal Medicine, College of Medicine, Korea University) ;
  • In, Kwang-Ho (Department of Internal Medicine, College of Medicine, Korea University) ;
  • Yu, Sae-Hwa (Department of Internal Medicine, College of Medicine, Korea University) ;
  • Kang, Kyoung-Ho (Department of Internal Medicine, College of Medicine, Korea University)
  • 이영호 (고려대학교 의과대학 내과학교실) ;
  • 권오상 (고려대학교 의과대학 내과학교실) ;
  • 이수은 (고려대학교 의과대학 가정의학과교실) ;
  • 서홍석 (고려대학교 의과대학 내과학교실) ;
  • 심재정 (고려대학교 의과대학 내과학교실) ;
  • 조재연 (고려대학교 의과대학 내과학교실) ;
  • 인광호 (고려대학교 의과대학 내과학교실) ;
  • 유세화 (고려대학교 의과대학 내과학교실) ;
  • 강경호 (고려대학교 의과대학 내과학교실)
  • Published : 1993.12.31
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Abstract

Recent literature reveals that pulmonary embolism secondary of pulmonary tumor embolism are dyspnea, hemoptysis, pulmonary hypertension, and circulatory collapse. We experienced a case of pulmonary embolism secondary to hepatocelluar cancer in 53-year-old man. From 2 months before admission, he began to experience cough and mild shortness of breath. Within a few days these symptoms progressed to near total incapacity. Pulmonary embolism was confirmed by angiography and the diagnosis of hepatocellular cancer was estabillished by abdomen CT and $\alpha$-FP(21,000 ng/ml). There was no evidence of intravascular cogulation elsewhere in deep vein of the extremities or risk factors of deep vein thrombosis. Thus we consider that pulmonary embolism in this patients is related to hepatocellular cancer rather than deep vein thrombosis. Therefore we report the first case which hepatocellular cancer initially presented as pulmonary embolism in Korean literature.

저자들은 원발성 간암과 동반된 폐동맥 색전증 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.

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