[Implantation of cervix neoplasms in the right heart ventricle as the cause of chronic pulmonary embolism].
38-years-old female patient was referred to the Pulmonary Diseases Ward because of suspicion of the right lung infiltrative tuberculosis. Anamnesis included cervical carcinoma treated surgically two years earlier. Neither radio- nor chemotherapy was applied. Infectious etiology was not confirmed. Lab tests, bronchoscopy and abdominal USG did not show any abnormalities. Contributory anamnesis, cardiorespiratory failure, variability of X-ray picture, enlargement of the heart in subsequent X-ray examinations suggested chronic pulmonary embolism. Large tumor masses were seen within the right ventricule on USG examination. The patient died in the course of the surgical procedure. Grey-yellow, elastic masses remaining in pulmonary arteries and between trabeculae carneae were found on autopsy. Enlarged and infiltrated paraaortic and iliac lymph nodes were observed. Planoepithelial nonkeratinizing carcinoma cells were confirmed in the above mentioned masses.
Chudyba
J
J
Szpitala Chorób Płuc i Gruźlicy Wysoka Laka w Kowarach ul. Sanatoryjna 27.
Kochman
A
A
D000328:Adult; D002294:Carcinoma, Squamous Cell / Q000150:complications* / Q000556:secondary; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008207:Lymphatic Metastasis; D011655:Pulmonary Embolism / Q000175:diagnosis* / Q000209:etiology; D014376:Tuberculosis / Q000175:diagnosis*; D002583:Uterine Cervical Neoplasms / Q000150:complications*