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Recurrent Thromboembolic Events In A Case Of Pulmonary Adenocarcinoma: Trousseau Syndrome
Dr. Ahmet BİRCANa, Dr. Mehmet HASa, Dr. Münire ÇAKIRa, Dr. Sema BİRCANb, Dr. Necla SONGÜRa, Dr. Ünal ŞAHİNa, Dr. Önder ÖZTÜRKa, Dr. Ahmet AKKAYAa
aGöğüs Hastalıkları AD, bPatoloji AD, Süleyman Demirel Üniversitesi Tıp Fakültesi, Isparta
Thromboembolic events (TEE) may occur in cancer patients 15 % and 30-50 % in clinical and postmortem settings, respectively. Migrating TEE which may be seen as a paraneoplastic syndrome in these patients are defined as Trousseau syndrome. A heavy smoker 50-years old man experienced multiple embolectomies and amputations due to recurrent TEE in a period of 4 months. A thoracentesis was done due to right-sided massive pleural effusion and it was reported as malignant cytology. Histopathologic examination of the excisional biopsy of the right axillary lymphadenopathy was reported as metastasis of the pulmonary adenocarcinoma. As a conclusion, Trousseau syndrome is frequently seen in cancer patients, but is rarely reported. Our case is presented here oncemore to emphasize the importance of early diagnosis and the necessity of investigating the underlying malign diseases in case of the failure of anticoagulant treatment.Keywords: Lung; adenocarcinoma; thrombophlebitis; paraneoplastic syndromesTurkiye Klinikleri Arch Lung 2009;10(2):71-6
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