[A case of non-small cell lung carcinoma dying of acute respiratory failure due to aerogenous metastasis].
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.
Tanaka
Junichi
J
Division of Respiratory Medicine, Niigata University.
Tajima
Shunji
S
Ito
Ryo
R
Shimaoka
Yuichi
Y
Kuriyama
Hideyuki
H
Kagamu
Hiroshi
H
Terada
Masaki
M
Takada
Toshinori
T
Gejyo
Fumitake
F
Suzuki
Eiichi
E
Yoshizawa
Hirohisa
H
Narita
Ichiei
I
D000208:Acute Disease; D002282:Adenocarcinoma, Bronchiolo-Alveolar / Q000556:secondary*; D002289:Carcinoma, Non-Small-Cell Lung / Q000473:pathology* / Q000556:secondary; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology* / Q000556:secondary; D008297:Male; D008875:Middle Aged; D012131:Respiratory Insufficiency / Q000209:etiology*