A first case of high-flow nasal cannula oxygen therapy in patients with pulmonary tumor thrombotic microangiopathy

In conclusion, PTTM is a rare pulmonary complication of cancer that is fatal because of its rapid progression. To make an early diagnosis and intervene therapeutically, it is important to include PTTM in the differential diagnosis of cancer patients with rapidly progressing hypoxemia without pulmona...

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Bibliographic Details
Published in:The Korean journal of internal medicine 2017, 32(3), , pp.555-558
Main Authors: Joo, Hyonsoo, Na, Do-Hyun, Seung, Jaeho, Kim, Tong Yoon, Min, Gi June, Rhee, Chin Kook
Format: Article
Language:English
Subjects:
Administration, Inhalation
Adult
Breast Neoplasms - complications
Breast Neoplasms - pathology
Cannula
Carcinoma, Ductal, Breast - complications
Carcinoma, Ductal, Breast - secondary
Fatal Outcome
Female
Humans
Letter to the Editor
Lung Neoplasms - complications
Lung Neoplasms - secondary
Neoplastic Cells, Circulating - pathology
Oxygen Inhalation Therapy - instrumentation
Oxygen Inhalation Therapy - methods
Perfusion Imaging
Thrombotic Microangiopathies - diagnostic imaging
Thrombotic Microangiopathies - etiology
Thrombotic Microangiopathies - pathology
Thrombotic Microangiopathies - therapy
Tomography, X-Ray Computed
Treatment Outcome
내과학
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Summary:In conclusion, PTTM is a rare pulmonary complication of cancer that is fatal because of its rapid progression. To make an early diagnosis and intervene therapeutically, it is important to include PTTM in the differential diagnosis of cancer patients with rapidly progressing hypoxemia without pulmonary thromboembolism. Although we could not change the clinical outcome using highflow nasal cannula oxygen therapy, we revealed that the cause of death in PTTM is circulatory failure, and not hypoxia. Nevertheless, further studies are needed to elucidate the pathogenesis and treatment of PTTM. KCI Citation Count: 1
ISSN:1226-3303
2005-6648
DOI:10.3904/kjim.2015.307