title: [Massive tumorous pulmonary embolism in hepatocarcinoma].
abstract: Tumoral pulmonary embolism is among the causes of acute dyspnea in patients with neoplasia. This phenomenon, different to thrombotic embolism, occurs frequently in patients with lung, gastrointestinal, liver, breast and uterus neoplasia. It is usually asymptomatic and usually constitutes an autopsy finding in these patients. More rarely it manifests as a cor pulmonale which evolves subacutely. Exceptionally large tumoral emboli spread from a primary tumoral mass, and obstruct main pulmonary arterial vessels, causing a clinical picture indistinguishable from massive pulmonary thromboembolism. We present case of massive tumoral pulmonary embolism by an hepatocarcinoma. In spite of an early thrombolytic treatment the patient died from acute pulmonary hypertension.
authors.affiliation: Servicio de Medicina Interna, Hospital Regional Carlos Haya, Málaga.
authors.forename: F
authors.initials: F
authors.lastname: Martos Pérez
authors.forename: R
authors.initials: R
authors.lastname: Seara Valero
authors.forename: B
authors.initials: B
authors.lastname: Weil Lara
authors.forename: J
authors.initials: J
authors.lastname: Contreras
authors.forename: F
authors.initials: F
authors.lastname: Domínguez Picón
mesh_terms: D001344:Autopsy; D006528:Carcinoma, Hepatocellular / Q000150:complications* / Q000473:pathology; D006801:Humans; D008113:Liver Neoplasms / Q000150:complications* / Q000473:pathology; D008297:Male; D008875:Middle Aged; D011655:Pulmonary Embolism / Q000209:etiology* / Q000473:pathology
vernacular_title: Embolismo pulmonar masivo tumoral por hepatocarcinoma.