TY - JOUR
T1 - A case of non-small cell lung carcinoma dying of acute respiratory failure due to aerogenous metastasis
AU - Tanaka, Junichi
AU - Tajima, Shunji
AU - Ito, Ryo
AU - Shimaoka, Yuichi
AU - Kuriyama, Hideyuki
AU - Kagamu, Hiroshi
AU - Terada, Masaki
AU - Takada, Toshinori
AU - Gejyo, Fumitake
AU - Suzuki, Eiichi
AU - Yoshizawa, Hirohisa
AU - Narita, Ichiei
PY - 2009/7
Y1 - 2009/7
N2 - A 63-year-old man was admitted to our hospital, because of exacerbation of backache and erythema. At the time of admission the chest X-ray film showed infiltrative shadows in the left middle and lower lung fields. Our investigation revealed primary mucinous type bronchioloalveolar carcinoma in the left lung (cT4N2M1 Stage IV). Radiotherapy (C7-Th2, L3-L5. Total 30 Gy/10 fr) was administered to relieve his pain. After radiotherapy, he developed respiratory failure, fever, and infiltrative shadow in his chest X-ray. Antibiotic therapy improved his symptoms, laboratory findings and radiological abnormal findings. We suspected complication with nosocomial infection. However the ground-glass appearance appeared in the right lung a few days later. Although antibiotics and steroids were administered, he died of respiratory failure in 6 days. Necropsy findings revealed bronchioloalveolar carcinoma in the right lung suggesting aerogenous metastasis. Considering these facts together, we diagnosed non-small cell lung carcinoma dying of acute respiratory failure due to aerogenous metastasis.
AB - A 63-year-old man was admitted to our hospital, because of exacerbation of backache and erythema. At the time of admission the chest X-ray film showed infiltrative shadows in the left middle and lower lung fields. Our investigation revealed primary mucinous type bronchioloalveolar carcinoma in the left lung (cT4N2M1 Stage IV). Radiotherapy (C7-Th2, L3-L5. Total 30 Gy/10 fr) was administered to relieve his pain. After radiotherapy, he developed respiratory failure, fever, and infiltrative shadow in his chest X-ray. Antibiotic therapy improved his symptoms, laboratory findings and radiological abnormal findings. We suspected complication with nosocomial infection. However the ground-glass appearance appeared in the right lung a few days later. Although antibiotics and steroids were administered, he died of respiratory failure in 6 days. Necropsy findings revealed bronchioloalveolar carcinoma in the right lung suggesting aerogenous metastasis. Considering these facts together, we diagnosed non-small cell lung carcinoma dying of acute respiratory failure due to aerogenous metastasis.
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M3 - Article
C2 - 19637811
AN - SCOPUS:70349339266
SN - 2212-5345
VL - 47
SP - 652
EP - 657
JO - Respiratory Investigation
JF - Respiratory Investigation
IS - 7
ER -