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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Language: | English |
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The Korean Society of Radiology
2024-11-01
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Series: | Journal of the Korean Society of Radiology |
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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. |
format | Article |
id | doaj-art-d6213e319de544ae82a7edb0ecf15c8c |
institution | Kabale University |
issn | 2951-0805 |
language | English |
publishDate | 2024-11-01 |
publisher | The Korean Society of Radiology |
record_format | Article |
series | Journal of the Korean Society of Radiology |
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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