肺腫瘍を疑わしめた大動脈瘤の破綻による肺実質内巨大血腫形成の1剖検例

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  • One Autopsy Case of a Giant Hematoma in the Pulmonary Parenchyma due to the Rupture of Aortic Aneurysm suspected of a Pulmonary Tumor
  • ハイ シュヨウ オ ウタガワシメタ ダイ ドウミャクリュウ ノ ハタン ニ ヨル ハイ ジッシツ ナイ キョダイ ケッシュ ケイセイ ノ 1 ボウケンレイ

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A patient in this case was an 89-year-old man. A hematoma as large as a child's head occurred in tne pulmonary parenchyma due to the chronic rupture of the arteriosclerotic aneurysm of the descending thoracic aorta, with a resultant absence of the typical symptoms of aortic aneurysm. Continuous hemoptysis, tracheophony and pulmonary tumor-like roentogenogrpahic features were noted. Atypical cells which were believed to be malignant tumor cells were detected in sputum. These findings made it considerably difficult to discriminate aortic aneurysm and pulmonary tumor. These respective clinical findings were evaluated on the basis of autopsy findings.

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