Tuberc Respir Dis.  1997 Oct;44(5):1177-1183.

A Case of Adenocarinoma of the Lung Associated with Multi-oragn Infarctions

• Park CW
• Lee CH
• Whang JW
• Jang IG
• Park HK
• Kim YC
• Park KO

Abstract

The relationship between neoplastic disease and thromboembolic disorders has been recognized since 1865, when Armand Trousseau first reported a high incidence of venous thrombosis in a series of patients with gastric carcinoma. The overall incidence of thromboembolic disease in patients with cancer has been reported to vary 1% to 15%. In a prospective study, Ambrus and associates reported that thrombosis and/or bleeding was the second most common cause of death in hospitalized cancer patients. We report a case who presented as a thromboembolic disease and subsequently confirmed to have an underlying lung malignancy. This 45 years old male patient visited our hospital with abdominal pain and distention of 3 days duration. Abdominal CT scan revealed multiple splenic and renal infarctions. On 20th hospital day, drowsy mental status was developed and hemorrhagic cerebral infarction was noted in brain CT scan. Chest CT scan revealed a 4cm sized spiculated mass on left lung apex and multiple paratracheal lymph adenopathy. With surgical biopsy of left supraclavicular lymph nodes, this patient was confirmed to have adenocarcinoma.

Keyword

Adenocarcinoma; Lung; Infarction

MeSH Terms

Abdominal Pain
Adenocarcinoma
Biopsy
Brain
Cause of Death
Cerebral Infarction
Hemorrhage
Humans
Incidence
Infarction*
Lung*
Lymph Nodes
Male
Middle Aged
Prospective Studies
Thrombosis
Tomography, X-Ray Computed
Venous Thrombosis