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하지의 통증 및 부종을 주소로 내원한 환자에서 발견된 폐암 1예

Lung Cancer Presented as Painful Swelling of Lower Legs

Tuberculosis & Respiratory Diseases / Tuberculosis & Respiratory Diseases,
2006, v.61 no.4, pp.398-402
안진영 (청주성모병원)
이장은 (청주성모병원)
박형욱
이정화
양승아
박용근
이상록
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초록

저자들은 하지 부종과 통증을 주소로 내원한 환자에서 심부 정맥혈전증과 폐암이 있는 환자를 경험하였기에 혈전의 유발 원인이 없는 환자에서 발생하는 특발성 혈전증 환자에서 잠재적 종양에 대한 주의 관찰이 필요할 것으로 보여 문헌 고찰과 함께 더불어 보고하는 바이다.

keywords
lung cancer, Trousseau's syndrome, lung cancer, Trousseau's syndrome

Abstract

Trousseau's syndrome comsists of migratory thrombophlebitis and thromboembolic disorders of the venous and arterial systems in a malignancy or occult cancer. The overall incidence has been reported to vary from 1 to 11%. Pancreatic, lung, prostate, and stomach cancer is associated with the greatest risk of thromboembolic events. We encountered a 49-year-old man who presented with painful swelling of his lower legs. The chest radiograph showed increased opacity of the Left middle lung fields and Doppler sonography showed a thrombus in the left superficial femoral vein. Chest Computed Tomography showed a 5cm sized left hilar mass invading the pericardium with lymphadenopathy. The bronchoscope biopsy demonstrated an adenocarcinoma of the lung. Platinum based chemotherapy and anticoagulant therapy with warfarin was carried out. The patient was later discharged with an improvement in the painful swelling of his lower legs. (Tuberc Respir Dis 2006; 61: 398-402)

keywords
lung cancer, Trousseau's syndrome, lung cancer, Trousseau's syndrome

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Tuberculosis & Respiratory Diseases