Treatment of Pulmonary Tumor Embolism from Choriocarcinoma: Extracorporeal Membrane Oxygenation as a Bridge through Chemotherapy
| العنوان: | Treatment of Pulmonary Tumor Embolism from Choriocarcinoma: Extracorporeal Membrane Oxygenation as a Bridge through Chemotherapy |
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| المؤلفون: | Gun Yoon, Hyun Myung Cho, Hye Ju Yeo, Byung Min Ye, Dong Hoon Shin, Jae Heun Chung, Do Hyung Kim, Woo Hyun Cho, Jin Ook Jang |
| المصدر: | Cancer Research and Treatment : Official Journal of Korean Cancer Association |
| بيانات النشر: | Korean Cancer Association, 2017. |
| سنة النشر: | 2017 |
| مصطلحات موضوعية: | Cancer Research, medicine.medical_specialty, Circulatory collapse, Computed Tomography Angiography, medicine.medical_treatment, Embolectomy, Case Report, 030204 cardiovascular system & hematology, law.invention, Young Adult, 03 medical and health sciences, 0302 clinical medicine, law, Antineoplastic Combined Chemotherapy Protocols, Biomarkers, Tumor, Extracorporeal membrane oxygenation, Humans, Medicine, Choriocarcinoma, Neoplasm Staging, Chemotherapy, business.industry, Cardiogenic shock, Pulmonary embolism, Neoplastic Cells, Circulating, medicine.disease, Immunohistochemistry, Intensive care unit, Surgery, Treatment Outcome, 030228 respiratory system, Oncology, Female, Blood Gas Analysis, Tomography, X-Ray Computed, business |
| الوصف: | A 22-year-old woman with a 1-month history of shortness of breath that was treated as a case of tuberculosis and pulmonary embolism was referred to the authors’ hospital. Because of the hemodynamic instability in this patient, venoarterial extracorporeal membrane oxygenation (ECMO) was administered in the intensive care unit. She underwent a pulmonary embolectomy for the treatment of progressive circulatory collapse secondary to a pulmonary embolism. The histopathologic result was consistent with a metastatic choriocarcinoma. Despite the surgical management, persistent refractory cardiogenic shock occurred. Subsequently, the patient was treated with chemotherapy in the presence of ECMO and responded well to chemotherapy. She was discharged after 3 months. This case suggests that metastatic choriocarcinoma should be considered as a differential diagnosis in women of childbearing age presenting with a pulmonary embolism, and ECMO may be beneficial in patients with pulmonary embolism for bridging to surgical embolectomy and chemotherapy. |
| تدمد: | 2005-9256 1598-2998 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::4a09cb1312aed4538e82168f2142162f https://doi.org/10.4143/crt.2016.125 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....4a09cb1312aed4538e82168f2142162f |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 20059256 15982998 |
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