The Experts below are selected from a list of 1995 Experts worldwide ranked by ideXlab platform
R G Price - One of the best experts on this subject based on the ideXlab platform.
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subacute cor pulmonale due to Tumor embolization
1992Co-Authors: J P Veinot, S E Ford, R G PriceAbstract:Pulmonary Tumor Embolism is a rare but well-documented cause of respiratory failure in patients with cancer. This entity is probably clinically underrecognized and may represent an important cause of mortality and morbidity in patients with cancer. Pulmonary Tumor embolization may present at any stage of the patient's illness and indeed may be the first presentation of an occult carcinoma. In a review of 1069 nonmedicolegal autopsy protocols, we recently encountered three cases in which death had occurred from subacute cor pulmonale due to Tumor embolization from breast, lung, and ovarian carcinoma. Recent advances in cytologic examination of blood samples obtained from Swan-Ganz catheters may prove useful in the diagnosis of this entity.
Tetsuya Ohta - One of the best experts on this subject based on the ideXlab platform.
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lessons from a patient with cardiac arrest due to massive pulmonary Embolism as the initial presentation of wilms Tumor a case report and literature review
2019Co-Authors: Atsuna Fukuda, Takeshi Isoda, Naoya Sakamoto, Keisuke Nakajima, Tetsuya OhtaAbstract:Finding an abdominal mass or hematuria is the initial step in diagnosing Wilms Tumor. As the first manifestation of Wilms Tumor, it is exceedingly rare for pulmonary Tumor Embolism to present with cardiac arrest. A case of a patient whose sudden cardiac arrest due to massive pulmonary Tumor Embolism of Wilms Tumor was not responsive to resuscitation is presented. The patient was a five-year-old girl who collapsed suddenly during activity in nursery school and went into cardiac arrest in the ambulance. Unfortunately, she was not responsive to conventional resuscitation. A judicial autopsy conducted at the local police department showed the main cause of her sudden cardiac arrest was attributed to multiple pulmonary Tumor Embolisms of stage IV Wilms Tumor. Except for one reported case, treatments were not successful in all eight cardiac arrest cases with pulmonary Tumor Embolism of Wilms Tumor. These results indicate that it is challenging not only to make an accurate diagnosis, but also to provide proper specific treatment in the cardiac arrest setting. We propose that flexible triage and prompt transfer to a tertiary hospital are necessary as an oncologic emergency to get such patients to bridging therapy combined with extracorporeal membrane oxygenation or immediate surgical intervention under cardiopulmonary bypass.
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Lessons from a patient with cardiac arrest due to massive pulmonary Embolism as the initial presentation of Wilms Tumor: a case report and literature review
2019Co-Authors: Atsuna Fukuda, Takeshi Isoda, Naoya Sakamoto, Keisuke Nakajima, Tetsuya OhtaAbstract:Abstract Background Finding an abdominal mass or hematuria is the initial step in diagnosing Wilms Tumor. As the first manifestation of Wilms Tumor, it is exceedingly rare for pulmonary Tumor Embolism to present with cardiac arrest. A case of a patient whose sudden cardiac arrest due to massive pulmonary Tumor Embolism of Wilms Tumor was not responsive to resuscitation is presented. Case presentation The patient was a five-year-old girl who collapsed suddenly during activity in nursery school and went into cardiac arrest in the ambulance. Unfortunately, she was not responsive to conventional resuscitation. A judicial autopsy conducted at the local police department showed the main cause of her sudden cardiac arrest was attributed to multiple pulmonary Tumor Embolisms of stage IV Wilms Tumor. Conclusions Except for one reported case, treatments were not successful in all eight cardiac arrest cases with pulmonary Tumor Embolism of Wilms Tumor. These results indicate that it is challenging not only to make an accurate diagnosis, but also to provide proper specific treatment in the cardiac arrest setting. We propose that flexible triage and prompt transfer to a tertiary hospital are necessary as an oncologic emergency to get such patients to bridging therapy combined with extracorporeal membrane oxygenation or immediate surgical intervention under cardiopulmonary bypass
P Dickens - One of the best experts on this subject based on the ideXlab platform.
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sudden death from massive pulmonary Tumor Embolism due to hepatocellular carcinoma
2000Co-Authors: G S W Chan, P DickensAbstract:Massive pulmonary Embolism in cancer patients can be due to detached thrombi or Tumor. Pulmonary Tumor Embolism is often undiagnosed antemortem. We report a 52-year-old Chinese man admitted for management of hepatocellular carcinoma (HCC). Computerized tomography showed Tumor involvement of hepatic vein and inferior vena cava. He died suddenly on the day of admission. At autopsy the main pulmonary arteries of both lungs were blocked by large Tumor emboli, the immediate cause of death. Although rapid death in patients with HCC is usually caused by intraperitoneal hemorrhage from spontaneous rupture of Tumor, massive pulmonary Tumor Embolism should also be considered in these patients, especially when antemortem evidence of hepatic vein and/or inferior vena cava invasion is present.
Nae Hee Lee - One of the best experts on this subject based on the ideXlab platform.
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spontaneous systemic Tumor Embolism caused by Tumor invasion of pulmonary vein in a patient with advanced lung cancer
2010Co-Authors: Jung Hwan Park, Hye Sun Seo, Se Kyung Park, Jon Suh, Dong Hun Kim, Yoon Haeng Cho, Nae Hee LeeAbstract:We describe a 72-year-old man who presented with left hemiparesis due to acute cerebral infarction in the right fronto-temporal lobe. Three months prior to admission, he was hospitalized for right hemiparesis due to the acute cerebral infarction in the left anterior cerebral artery territory. To investigate the cause of his recurrent embolic event, a chest computed tomography scan and echocardiography were performed, which revealed advanced lung cancer invading contiguously through the pulmonary veins to the right main pulmonary artery and left atrium. Tumor Embolism is a rare cause of stroke, occurring with primary or metastatic neoplasms of the lung. Echocardiography is a useful tool in patients with cerebral embolic episodes.
Randolph P Cole - One of the best experts on this subject based on the ideXlab platform.
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pulmonary Tumor Embolism a review of the literature
2003Co-Authors: Kari E Roberts, Diane Hamelebena, Anjali Saqi, C A Stein, Randolph P ColeAbstract:Dyspnea in a patient with cancer may have several causes, including infection, thromboEmbolism, metastases, and therapeutically induced cardiopulmonary disease. Pulmonary Tumor Embolism is an uncommon cause. Occlusion of the pulmonary microvasculature by Tumor cells and associated thrombi can produce a subacute and progressive clinical picture that resembles thromboembolic disease. Unfortunately, microscopic Tumor Embolism is recognized rarely before death because of difficulty in establishing the diagnosis. We provide a review of the literature about the evaluation and diagnosis of this rare clinical entity.
