[Multiple pulmonary nodules with interstitial changes].
Zhonghua Jie He He Hu Xi Za Zhi
; 45(8): 783-789, 2022 Aug 12.
Article
em Zh
| MEDLINE
| ID: mdl-35927049
ABSTRACT
A 53-year-old female patient with pulmonary nodules for more than 3 years was admitted to Beijing Chao-Yang Hospital because of cough and sputum with shortness of breath after exercise for 4 months. In the first two and a half years, her pulmonary nodules remained stable, after that the nodules increased obviously with interstitial changes. After admission, a venous thromboembolic (VTE) event was quickly detected with a marked increase in D-dimer. Then, based on the clues of VTE examination, bronchoscopy, gastroscope, positron emission tomography-CT, head magnetic resonance and other examinations were performed. The final pathological diagnosis was lung adenocarcinoma, mainly solid with mucus secretion, with mediastinal hilar lymph node metastasis, intrapulmonary metastasis and gastric metastasis. Gene detection of lung and stomach histopathological tissues showed positive EML4-ALK fusion gene. The patient received therapies with crizotinib, alectinib in sequence and anticoagulation. After 20-month treatment, a telephone follow-up showed that there was no significant limitation in her daily activities.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Tromboembolia Venosa
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Nódulos Pulmonares Múltiplos
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Adenocarcinoma de Pulmão
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Neoplasias Pulmonares
Limite:
Female
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Humans
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Middle aged
Idioma:
Zh
Ano de publicação:
2022
Tipo de documento:
Article