A case of pulmonary embolism associated with hepatocelluar carcinoma.

Lee, Young Ho; Kown, Oh Sang; Lee, Su Eun; Suh, Hong Suk; Sim, Jae Jung; Cho, Jae Yeon; In, Kwang Ho; Yu, Sae Hwa; Kang, Kyoung Ho

doi:1993.40.6.742

Tuberc Respir Dis > Volume 40(6); 1993 > Article

Original Article

Tuberculosis and Respiratory Diseases 1993;40(6):742-746.
DOI: https://doi.org/10.4046/trd.1993.40.6.742 Published online December 1, 1993.

A case of pulmonary embolism associated with hepatocelluar carcinoma.

Young Ho Lee¹, Oh Sang Kown¹, Su Eun Lee², Hong Suk Suh¹, Jae Jung Sim¹, Jae Yeon Cho¹, Kwang Ho In¹, Sae Hwa Yu¹, Kyoung Ho Kang¹

¹Department of Internal Medicine, College of Medicine, Korea University , Seoul, Korea
²Department of Family Medicine, College of Medicine, Korea University , Seoul, Korea

Abstract

Recent literature reveals that pulmonary embolism secondary of pulmonary tumor embolism are dyspnea, hemoptysis, pulmonary hypertension, and circulatory collapse. We experienced a case of pulmonary embolism secondary to hepatocelluar cancer in 53-year-old man. From 2 months before admission, he began to experience cough and mild shortness of breath. Within a few days these symptoms progressed to near total incapacity. Pulmonary embolism was confirmed by angiography and the diagnosis of hepatocellular cancer was estabillished by abdomen CT and a.FP (21.000 ng/ ml). There was no evidence of intravascular cogulation elsewhere in deep vein of the extremities or risk factors of deep vein thrombosis. Thus we consider that pulmonary embolism in this patients is related to hepatocellular cancer rather than deep vein thrombosis. Therefore we report the first case which hepatocellular cancer initially presented as pulmonary embolism in Korean literature.

Key Words: Pulmonary embolism, Hepatocellular carcinoma