A case of pulmonary tumor thrombotic microangiopathy associated with lung cancer diagnosed by cell-block immunohistochemistry of pulmonary microvascular cytology

Pulmonary tumor thrombotic microangiopathy (PTTM) is rare but should be considered as a possible diagnosis in patients with cancer. In this case, PTTM induced by lung cancer was more accurately diagnosed using cell block immunohistochemistry of pulmonary microvascular cytology (PMC) because we could...

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Main Authors: Hideaki Yamakawa, Tomohiro Oba, Hiroki Ohta, Yuta Tsukahara, Gen Kida, Emiri Tsumiyama, Tomotaka Nishizawa, Rie Kawabe, Shintaro Sato, Keiichi Akasaka, Masako Amano, Kazuyoshi Kuwano, Hidekazu Matsushima
Format: Article
Language:English
Published: Elsevier 2019-01-01
Series:Respiratory Medicine Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S2213007119301741
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spelling doaj-291822b662b84166bc96b685820906fc2020-11-25T01:14:45ZengElsevierRespiratory Medicine Case Reports2213-00712019-01-0128A case of pulmonary tumor thrombotic microangiopathy associated with lung cancer diagnosed by cell-block immunohistochemistry of pulmonary microvascular cytologyHideaki Yamakawa0Tomohiro Oba1Hiroki Ohta2Yuta Tsukahara3Gen Kida4Emiri Tsumiyama5Tomotaka Nishizawa6Rie Kawabe7Shintaro Sato8Keiichi Akasaka9Masako Amano10Kazuyoshi Kuwano11Hidekazu Matsushima12Department of Respiratory Medicine, Saitama Red Cross Hospital, Saitama, Japan; Department of Respiratory Medicine, Tokyo Jikei University Hospital, Tokyo, Japan; Corresponding author. Department of Respiratory Medicine, Saitama Red Cross Hospital, 1-5 Shintoshin, Chuo-ku, Saitama, 330-8553, Japan.Department of Respiratory Medicine, Saitama Red Cross Hospital, Saitama, JapanDepartment of Respiratory Medicine, Saitama Red Cross Hospital, Saitama, JapanDepartment of Respiratory Medicine, Saitama Red Cross Hospital, Saitama, JapanDepartment of Respiratory Medicine, Saitama Red Cross Hospital, Saitama, JapanDepartment of Respiratory Medicine, Saitama Red Cross Hospital, Saitama, Japan; Department of Respiratory Medicine, Tokyo Jikei University Hospital, Tokyo, JapanDepartment of Respiratory Medicine, Saitama Red Cross Hospital, Saitama, JapanDepartment of Respiratory Medicine, Saitama Red Cross Hospital, Saitama, JapanDepartment of Respiratory Medicine, Saitama Red Cross Hospital, Saitama, JapanDepartment of Respiratory Medicine, Saitama Red Cross Hospital, Saitama, JapanDepartment of Respiratory Medicine, Saitama Red Cross Hospital, Saitama, JapanDepartment of Respiratory Medicine, Tokyo Jikei University Hospital, Tokyo, JapanDepartment of Respiratory Medicine, Saitama Red Cross Hospital, Saitama, JapanPulmonary tumor thrombotic microangiopathy (PTTM) is rare but should be considered as a possible diagnosis in patients with cancer. In this case, PTTM induced by lung cancer was more accurately diagnosed using cell block immunohistochemistry of pulmonary microvascular cytology (PMC) because we could confirm that lung adenocarcinoma was the origin of PTTM by the positive result of TTF-1 for atypical cells in PMC. The PMC procedure was minimally invasive and safer than lung biopsy. We believe that the cell block technique of PMC should be considered as one diagnostic option in PTTM. Keywords: Pulmonary tumor thrombotic microangiopathy, Pulmonary microvascular cytology, Cell block techniquehttp://www.sciencedirect.com/science/article/pii/S2213007119301741
collection DOAJ
language English
format Article
sources DOAJ
author Hideaki Yamakawa
Tomohiro Oba
Hiroki Ohta
Yuta Tsukahara
Gen Kida
Emiri Tsumiyama
Tomotaka Nishizawa
Rie Kawabe
Shintaro Sato
Keiichi Akasaka
Masako Amano
Kazuyoshi Kuwano
Hidekazu Matsushima
spellingShingle Hideaki Yamakawa
Tomohiro Oba
Hiroki Ohta
Yuta Tsukahara
Gen Kida
Emiri Tsumiyama
Tomotaka Nishizawa
Rie Kawabe
Shintaro Sato
Keiichi Akasaka
Masako Amano
Kazuyoshi Kuwano
Hidekazu Matsushima
A case of pulmonary tumor thrombotic microangiopathy associated with lung cancer diagnosed by cell-block immunohistochemistry of pulmonary microvascular cytology
Respiratory Medicine Case Reports
author_facet Hideaki Yamakawa
Tomohiro Oba
Hiroki Ohta
Yuta Tsukahara
Gen Kida
Emiri Tsumiyama
Tomotaka Nishizawa
Rie Kawabe
Shintaro Sato
Keiichi Akasaka
Masako Amano
Kazuyoshi Kuwano
Hidekazu Matsushima
author_sort Hideaki Yamakawa
title A case of pulmonary tumor thrombotic microangiopathy associated with lung cancer diagnosed by cell-block immunohistochemistry of pulmonary microvascular cytology
title_short A case of pulmonary tumor thrombotic microangiopathy associated with lung cancer diagnosed by cell-block immunohistochemistry of pulmonary microvascular cytology
title_full A case of pulmonary tumor thrombotic microangiopathy associated with lung cancer diagnosed by cell-block immunohistochemistry of pulmonary microvascular cytology
title_fullStr A case of pulmonary tumor thrombotic microangiopathy associated with lung cancer diagnosed by cell-block immunohistochemistry of pulmonary microvascular cytology
title_full_unstemmed A case of pulmonary tumor thrombotic microangiopathy associated with lung cancer diagnosed by cell-block immunohistochemistry of pulmonary microvascular cytology
title_sort case of pulmonary tumor thrombotic microangiopathy associated with lung cancer diagnosed by cell-block immunohistochemistry of pulmonary microvascular cytology
publisher Elsevier
series Respiratory Medicine Case Reports
issn 2213-0071
publishDate 2019-01-01
description Pulmonary tumor thrombotic microangiopathy (PTTM) is rare but should be considered as a possible diagnosis in patients with cancer. In this case, PTTM induced by lung cancer was more accurately diagnosed using cell block immunohistochemistry of pulmonary microvascular cytology (PMC) because we could confirm that lung adenocarcinoma was the origin of PTTM by the positive result of TTF-1 for atypical cells in PMC. The PMC procedure was minimally invasive and safer than lung biopsy. We believe that the cell block technique of PMC should be considered as one diagnostic option in PTTM. Keywords: Pulmonary tumor thrombotic microangiopathy, Pulmonary microvascular cytology, Cell block technique
url http://www.sciencedirect.com/science/article/pii/S2213007119301741
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