HCC lung ca. case report limeline
Category: Andere
Wurde aktualisiert: 30 Apr 2022
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Created by黃紹閔
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admission via ED : final diagnosis with HCCs/p TACEs/p nivolumabs/p nivolumabs/p nivolumabs/p nivolumabs/p TACEright pleural effusion with RLL collapse on CT followuphemoptysis and cough with sputum, episode of short of breathCXR shows nodule on lung RMLs/p TACECXR show both lung multiple nodules/p TACEchest CT : bilateral hilar lymphadenopathyDC-CIK 門診last admission from ER : chief compliant of dyspnea, PE show strider, suspected metastatic lymphadenopathy in carina region cause airway obsteuctionfeverpembroDC-CIK therapydyspnea, CXR show pneumothorax2/7 expired on 11:11 AMabd CT with contrast : follow up post TACE HCCabd angiography : show 腹部vessel 延伸到pulmonary vesselsAbdominal and chest MRIAbd MRIPost wedge biopsy OPD in dr Chen show severe dyspnea s/p furosemide8/13 Y90 SIRT eligible testAFP:30905AFP:17822AFP:16009AFP:7405AFP:1931.27AFP:2502.38AFP:4261AFP:4602AFP:4550AFP:5910AFP:1233.81AFP:1101.64AFP:1354.74AFP:1279.07AFP:1672.11AFP:17828AFP:16131AFP:16576AFP:10570AFP:8704AFP:17324AFP:10052AFP:11469s/p lenvatiniblenvatiniblenvatiniblenvatiniblenvatiniblenvatiniblenvatinibPerioden
abdomen R/T 25 timess/p lenvatinib(TKI)s/p lenvatinibadmission for lung biopsyafter discharged, patient still dyspneachest R/T + steroid for suspected tumor obstruction, with dyspnea improvedsuspected HAP and mediastinitisCDI diarrhea, s/p metronidazolesubcutaneous emphysema and pneumonediastinums/p prednisolones/p lenvatinibfeverfevers/p prednisolonerecurrent pneumothoraxCXR and dyspnea
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