title: [A case of non-small cell lung carcinoma dying of acute respiratory failure due to aerogenous metastasis].
abstract: 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.
authors.affiliation: Division of Respiratory Medicine, Niigata University.
authors.forename: Junichi
authors.initials: J
authors.lastname: Tanaka
authors.forename: Shunji
authors.initials: S
authors.lastname: Tajima
authors.forename: Ryo
authors.initials: R
authors.lastname: Ito
authors.forename: Yuichi
authors.initials: Y
authors.lastname: Shimaoka
authors.forename: Hideyuki
authors.initials: H
authors.lastname: Kuriyama
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Kagamu
authors.forename: Masaki
authors.initials: M
authors.lastname: Terada
authors.forename: Toshinori
authors.initials: T
authors.lastname: Takada
authors.forename: Fumitake
authors.initials: F
authors.lastname: Gejyo
authors.forename: Eiichi
authors.initials: E
authors.lastname: Suzuki
authors.forename: Hirohisa
authors.initials: H
authors.lastname: Yoshizawa
authors.forename: Ichiei
authors.initials: I
authors.lastname: Narita
mesh_terms: 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*