[Tumoral microembolism and cor-pulmonar as manifestation of hepatocelular carcinoma].
The tumour pulmonary micro-embolism is a rare condition characterized by the occlusion of pulmonary small arteries, arteriolas, and alveolar capillaries septales, accompanied of trombosis. Occasionally the development of pulmonary hypertension is the first manifestation of an occult neoplasia, in series of autopsies, an incidence from 3 to 26% has been reported in solid tumors, being clinical evident in 8%. Few cases have documented the development of this condition in patients with carcinoma hepatocelular, we report the case of a 16-year-old male who comes to the emergency with signs of cardiac insufficiency and cor pulmonare whose anatomopatological study confirmed a tumour massive microembolic compromise at pulmonary level and hepatocarcinoma.
Canelo Aybar
Carlos Gilberto
CG
Medicina Interna, Universidad Nacional Mayor de San Marcos, Hospital Nacional Arzobispo Loayza.
Cuadra Urteaga
José Luís
JL
Fujii
F
F
Romaní Romaní
Franco
F
Atencia Matute
Fernando Alonso
FA
Verona Rubio
Rogger Oscar
RO
D000293:Adolescent; D006528:Carcinoma, Hepatocellular / Q000150:complications* / Q000556:secondary*; D017809:Fatal Outcome; D006801:Humans; D008113:Liver Neoplasms / Q000150:complications* / Q000473:pathology*; D008297:Male; D009360:Neoplastic Cells, Circulating; D011655:Pulmonary Embolism / Q000209:etiology*; D011660:Pulmonary Heart Disease / Q000209:etiology*