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Case of the Month
Arch Intern Med. 1998;158:14.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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INTRODUCTION
A 53-YEAR-OLD white woman was admitted to the hospital with a 3-day history of cough and dyspnea. Two years previously, a ductal carcinoma of the breast (already with widespread metastases) had been diagnosed. On this admission, significant arterial hypoxia was noted. The results of echocardiography showed right ventricular dilatation. An electron beam computed tomographic scan was interpreted as negative for pulmonary embolism. Despite the interpretation, the patient was diagnosed as having pulmonary thromboembolism and was given anticoagulant therapy. She died of progressive respiratory failure 2 weeks after admission to the hospital.
AUTOPSY FINDINGS
Right cardiac ventricular dilatation, chronic passive visceral congestion, and microscopic metastases in the vertebral column, liver, and pancreas were observed during the autopsy. Careful dissection of the lungs failed to show either pulmonary thromboembolism or metastases (Figure 1). The results of microscopic examination disclosed numerous small pulmonary arterial and arteriolar lumens that were occluded by neoplastic microemboli . . . [Full Text of this Article]
COMMENT
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
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Case of the Month: Wrapping Things Up
Hanzlick and the Autopsy Committee of the College of American P
Arch Intern Med 2000;160:3029-3031.
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Case of the Month: What Killed the Patient--the Disease or the Experimental Treatment?
Nichols et al.
Arch Intern Med 2000;160:2253-2254.
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The Term "Lymphangitic Pulmonary Metastases" Resurrected
Sadoff et al.
Arch Intern Med 1999;159:1254-1254.
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Pulmonary Arterial Carcinomatosis vs Pulmonary Embolism
Johnson et al.
Arch Intern Med 1998;158:1276-1276.
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