PULMONARY WEDGE ASPIRATION CYTOLOGY IN THE DIAGNOSIS OF RECURRENT TUMOR EMBOLISM CAUSING PULMONARY ARTERIAL-HYPERTENSION

被引:28
作者
BHUVANESWARAN, JS
VENKITACHALAM, CG
SANDHYAMANI, S
机构
[1] SREE CHITRA TIRUNAL INST MED SCI & TECHNOL,DEPT CARDIOL,TRIVANDRUM 695011,KERALA,INDIA
[2] SREE CHITRA TIRUNAL INST MED SCI & TECHNOL,DEPT PATHOL,TRIVANDRUM 695011,KERALA,INDIA
关键词
PULMONARY ARTERIAL HYPERTENSION; PULMONARY WEDGE ASPIRATION CYTOLOGY; FLOW GUIDED ENDHOLE CATHETER; TROPHOBLASTIC MALIGNANCY;
D O I
10.1016/0167-5273(93)90040-N
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Recurrent subacute pulmonary embolism leading to pulmonary arterial hypertension is an uncommon presentation of malignancy. We describe one such patient who presented to us with features of pre-capillary pulmonary arterial hypertension. A novel yet simple technique, involving pulmonary wedge aspiration cytology, provided the tissue diagnosis of trophoblastic malignancy, thus enabling prompt institution of chemotherapy and consequent impressive clinical improvement. This technique appears to be a hitherto unreported indication for intravascular catheterisation in the diagnostic work up of pulmonary arterial hypertension.
引用
收藏
页码:209 / 212
页数:4
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