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Title: 女性尿道癌に対して化学療法中に急性肺塞栓症をきたし心肺停止に至った1例
Other Titles: Cardiorespiratory Arrest Due to Acute Pulmonary Thromboembolism during Chemotherapy for Female Urothelial Carcinoma of Urethra : A Case Report
Authors: 中澤, 成晃  KAKEN_name
植村, 元秀  KAKEN_name
松崎, 恭介  KAKEN_name
吉田, 栄宏  KAKEN_name
高尾, 徹也  KAKEN_name
辻村, 晃  KAKEN_name
野々村, 祝夫  KAKEN_name
Author's alias: Nakazawa, Shigeaki
Uemura, Motohide
Matsuzaki, Kyosuke
Yoshida, Takahiro
Takao, Tetsuya
Tsujimura, Akira
Nonomura, Norio
Keywords: Chemotherapy
Acute pulmonary thromboembolism
Issue Date: May-2013
Publisher: 泌尿器科紀要刊行会
Journal title: 泌尿器科紀要
Volume: 59
Issue: 5
Start page: 287
End page: 292
Abstract: We report a case of deep vein thrombosis and acute pulmonary thromboembolism that occurred during chemotherapy for urethral carcinoma. A 68-year-old woman suffered from dysuria for a period of 2 years. When the symptoms worsened, a urethral catheter was placed and she was referred to our hospital for further examinations. Imaging analysis revealed a urethral tumor with multiple metastases. Pathological diagnosis on a specimen obtained from transurethral resection of the urethral mucosa was urothelial carcinoma and combined chemotherapy with gemcitabine and cisplatin was administered. On day 6 of the second course, the patient collapsed and was found to be in cardiorespiratory arrest. Cardiopulmonary resuscitation was successful and she received percutaneous cardiopulmonary support. Computed tomography at that time revealed a pulmonary embolism and deep vein thrombosis in the right popliteal vein. After her condition improved, an inferior vena cava filter was inserted to avoid further thromboembolism. The patient decided to continue the chemotherapy despite this episode. After the fourth course of combined chemotherapy, the urethral tumor and metastatic tumors were downsized, and she could urinate as she did before.
Rights: 許諾条件により本文は2014-06-01に公開
PubMed ID: 23719136
Appears in Collections:Vol.59 No.5

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