원발성 간암과 동반된 폐동맥 색전증 1예

• Published in: Tuberculosis and respiratory diseases Vol. 40; no. 6; pp. 742 - 746
• Main Authors: 이영호, 권오상, 이수은, 서홍석, 심재정, 조재연, 인광호, 유세화, 강경호, Lee, Young-Ho, Kown, Oh-Sang, Lee, Su-Eun, Suh, Hong-Suk, Sim, Jae-Jung, Cho, Jae-Yeon, In, Kwang-Ho, Yu, Sae-Hwa, Kang, Kyoung-Ho
• Format: Journal Article
• Language: Korean
• Published: 1993
• Subjects: Pulmonary embolism; Hepatocellular carcinoma
• ISSN: 1738-3536; 2005-6184

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.