The diagnostic challenge in pulmonary tumour embolism in cancer: a case report and literature review

Pulmonary tumour embolism is a rare condition without specific symptoms or pathognomonic features. Pulmonary tumour embolism can occur as the first manifestation of cancer, but because of diagnostic difficulties, it is often wrongly recognised as a more common cardiopulmonary disease. We present a c...

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Autores principales:	Aleksandra Zielińska, Marcin Braun, Dominika Piasecka, Piotr Minc, Hanna M. Romańska
Formato:	article
Lenguaje:	EN
Publicado:	Termedia Publishing House 2021
Materias:	pulmonary tumour embolism signet-ring gastric adenocarcinoma dyspnoea pleural effusion. Medicine R
Acceso en línea:	https://doaj.org/article/40bdf63ad6e04c578f14521147f461ee
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spelling	oai:doaj.org-article:40bdf63ad6e04c578f14521147f461ee2021-12-02T19:19:18ZThe diagnostic challenge in pulmonary tumour embolism in cancer: a case report and literature review1428-25261897-430910.5114/wo.2020.102631https://doaj.org/article/40bdf63ad6e04c578f14521147f461ee2021-01-01T00:00:00Zhttps://www.termedia.pl/The-diagnostic-challenge-in-pulmonary-tumour-embolism-in-cancer-a-case-report-and-literature-review,3,42984,1,1.htmlhttps://doaj.org/toc/1428-2526https://doaj.org/toc/1897-4309Pulmonary tumour embolism is a rare condition without specific symptoms or pathognomonic features. Pulmonary tumour embolism can occur as the first manifestation of cancer, but because of diagnostic difficulties, it is often wrongly recognised as a more common cardiopulmonary disease. We present a case of a 46-year-old Caucasian male with no prior malignancy diagnosis, admitted because of progressing dyspnoea and cough. Based on radiological and clinical presentations, sarcoidosis, silicosis and lymphangitic carcinomatosis were considered in the differential diagnosis. Histopathological analysis of lung biopsy revealed that multiple emboli of atypical epithelial cells found in the pulmonary vessels were of gastrointestinal origin. Further pathological examination of the gastric biopsy led to the final diagnosis of the signet-ring cells gastric adenocarcinoma. The patient was referred for chemotherapy. After a short-term partial remission, he died within two months after the final diagnosis. The presented case illustrates challenges posed by the diagnostic process of pulmonary tumour embolism.Aleksandra ZielińskaMarcin BraunDominika PiaseckaPiotr MincHanna M. RomańskaTermedia Publishing Housearticlepulmonary tumour embolism signet-ring gastric adenocarcinoma dyspnoea pleural effusion.MedicineRENContemporary Oncology, Vol 24, Iss 4, Pp 258-262 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	pulmonary tumour embolism signet-ring gastric adenocarcinoma dyspnoea pleural effusion. Medicine R
spellingShingle	pulmonary tumour embolism signet-ring gastric adenocarcinoma dyspnoea pleural effusion. Medicine R Aleksandra Zielińska Marcin Braun Dominika Piasecka Piotr Minc Hanna M. Romańska The diagnostic challenge in pulmonary tumour embolism in cancer: a case report and literature review
description	Pulmonary tumour embolism is a rare condition without specific symptoms or pathognomonic features. Pulmonary tumour embolism can occur as the first manifestation of cancer, but because of diagnostic difficulties, it is often wrongly recognised as a more common cardiopulmonary disease. We present a case of a 46-year-old Caucasian male with no prior malignancy diagnosis, admitted because of progressing dyspnoea and cough. Based on radiological and clinical presentations, sarcoidosis, silicosis and lymphangitic carcinomatosis were considered in the differential diagnosis. Histopathological analysis of lung biopsy revealed that multiple emboli of atypical epithelial cells found in the pulmonary vessels were of gastrointestinal origin. Further pathological examination of the gastric biopsy led to the final diagnosis of the signet-ring cells gastric adenocarcinoma. The patient was referred for chemotherapy. After a short-term partial remission, he died within two months after the final diagnosis. The presented case illustrates challenges posed by the diagnostic process of pulmonary tumour embolism.
format	article
author	Aleksandra Zielińska Marcin Braun Dominika Piasecka Piotr Minc Hanna M. Romańska
author_facet	Aleksandra Zielińska Marcin Braun Dominika Piasecka Piotr Minc Hanna M. Romańska
author_sort	Aleksandra Zielińska
title	The diagnostic challenge in pulmonary tumour embolism in cancer: a case report and literature review
title_short	The diagnostic challenge in pulmonary tumour embolism in cancer: a case report and literature review
title_full	The diagnostic challenge in pulmonary tumour embolism in cancer: a case report and literature review
title_fullStr	The diagnostic challenge in pulmonary tumour embolism in cancer: a case report and literature review
title_full_unstemmed	The diagnostic challenge in pulmonary tumour embolism in cancer: a case report and literature review
title_sort	diagnostic challenge in pulmonary tumour embolism in cancer: a case report and literature review
publisher	Termedia Publishing House
publishDate	2021
url	https://doaj.org/article/40bdf63ad6e04c578f14521147f461ee
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The diagnostic challenge in pulmonary tumour embolism in cancer: a case report and literature review

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