Sudden Development of Fatal Pulmonary due to Suspected Pulmonary Tumoral Thrombotic Microangiopathy among Patients with Cancer: Case Series of Clinical and CT Features in 10 Patients

Pulmonary tumoral thrombotic microangiopathy (PTTM) is a rare but fatal complication in patients with cancer that causes death due to sudden respiratory distress, pulmonary hypertension, and right ventricular dysfunction. Early diagnosis and intensive treatment are important for improving patient...

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Main Authors: Bo Kyung Kim, Yookyung Kim, Kyung Eun Lee
Format: Article
Language:English
Published: The Korean Society of Radiology 2024-11-01
Series:Journal of the Korean Society of Radiology
Subjects:
Online Access:https://doi.org/10.3348/jksr.2024.0084
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author Bo Kyung Kim
Yookyung Kim
Kyung Eun Lee
author_facet Bo Kyung Kim
Yookyung Kim
Kyung Eun Lee
author_sort Bo Kyung Kim
collection DOAJ
description Pulmonary tumoral thrombotic microangiopathy (PTTM) is a rare but fatal complication in patients with cancer that causes death due to sudden respiratory distress, pulmonary hypertension, and right ventricular dysfunction. Early diagnosis and intensive treatment are important for improving patient prognosis. Herein, we describe the clinical and CT findings of 10 patients who were clinically diagnosed with PTTM at our hospital over the past 18 years. In patients with cancer complaining of dyspnea and hypoxia, CT findings such as right ventricular and pulmonary artery dilatation, perivascular or subpleural ground-glass opacity or consolidation, micronodules with a ground-glass halo, peripheral pulmonary vessel dilatation, and interlobular septal thickening may suggest PTTM.
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publisher The Korean Society of Radiology
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spelling doaj-art-d6213e319de544ae82a7edb0ecf15c8c2024-11-28T14:19:13ZengThe Korean Society of RadiologyJournal of the Korean Society of Radiology2951-08052024-11-0185611691182https://doi.org/10.3348/jksr.2024.0084Sudden Development of Fatal Pulmonary due to Suspected Pulmonary Tumoral Thrombotic Microangiopathy among Patients with Cancer: Case Series of Clinical and CT Features in 10 PatientsBo Kyung KimYookyung KimKyung Eun LeePulmonary tumoral thrombotic microangiopathy (PTTM) is a rare but fatal complication in patients with cancer that causes death due to sudden respiratory distress, pulmonary hypertension, and right ventricular dysfunction. Early diagnosis and intensive treatment are important for improving patient prognosis. Herein, we describe the clinical and CT findings of 10 patients who were clinically diagnosed with PTTM at our hospital over the past 18 years. In patients with cancer complaining of dyspnea and hypoxia, CT findings such as right ventricular and pulmonary artery dilatation, perivascular or subpleural ground-glass opacity or consolidation, micronodules with a ground-glass halo, peripheral pulmonary vessel dilatation, and interlobular septal thickening may suggest PTTM.https://doi.org/10.3348/jksr.2024.0084pulmonary hypertensioncancerembolismdyspneacomputed tomography
spellingShingle Bo Kyung Kim
Yookyung Kim
Kyung Eun Lee
Sudden Development of Fatal Pulmonary due to Suspected Pulmonary Tumoral Thrombotic Microangiopathy among Patients with Cancer: Case Series of Clinical and CT Features in 10 Patients
Journal of the Korean Society of Radiology
pulmonary hypertension
cancer
embolism
dyspnea
computed tomography
title Sudden Development of Fatal Pulmonary due to Suspected Pulmonary Tumoral Thrombotic Microangiopathy among Patients with Cancer: Case Series of Clinical and CT Features in 10 Patients
title_full Sudden Development of Fatal Pulmonary due to Suspected Pulmonary Tumoral Thrombotic Microangiopathy among Patients with Cancer: Case Series of Clinical and CT Features in 10 Patients
title_fullStr Sudden Development of Fatal Pulmonary due to Suspected Pulmonary Tumoral Thrombotic Microangiopathy among Patients with Cancer: Case Series of Clinical and CT Features in 10 Patients
title_full_unstemmed Sudden Development of Fatal Pulmonary due to Suspected Pulmonary Tumoral Thrombotic Microangiopathy among Patients with Cancer: Case Series of Clinical and CT Features in 10 Patients
title_short Sudden Development of Fatal Pulmonary due to Suspected Pulmonary Tumoral Thrombotic Microangiopathy among Patients with Cancer: Case Series of Clinical and CT Features in 10 Patients
title_sort sudden development of fatal pulmonary due to suspected pulmonary tumoral thrombotic microangiopathy among patients with cancer case series of clinical and ct features in 10 patients
topic pulmonary hypertension
cancer
embolism
dyspnea
computed tomography
url https://doi.org/10.3348/jksr.2024.0084
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