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HCC lung ca. case report limeline
Category:
Other
Updated:
30 Apr 2022
0
0
227
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Created by
黃紹閔
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Events
admission via ED : final diagnosis with HCC
s/p TACE
s/p nivolumab
s/p nivolumab
s/p nivolumab
s/p nivolumab
s/p TACE
right pleural effusion with RLL collapse on CT followup
hemoptysis and cough with sputum, episode of short of breath
CXR shows nodule on lung RML
s/p TACE
CXR show both lung multiple nodule
s/p TACE
chest CT : bilateral hilar lymphadenopathy
DC-CIK 門診
last admission from ER : chief compliant of dyspnea, PE show strider, suspected metastatic lymphadenopathy in carina region cause airway obsteuction
fever
pembro
DC-CIK therapy
dyspnea, CXR show pneumothorax
2/7 expired on 11:11 AM
abd CT with contrast : follow up post TACE HCC
abd angiography : show 腹部vessel 延伸到pulmonary vessels
Abdominal and chest MRI
Abd MRI
Post wedge biopsy OPD in dr Chen show severe dyspnea s/p furosemide
8/13 Y90 SIRT eligible test
AFP:30905
AFP:17822
AFP:16009
AFP:7405
AFP:1931.27
AFP:2502.38
AFP:4261
AFP:4602
AFP:4550
AFP:5910
AFP:1233.81
AFP:1101.64
AFP:1354.74
AFP:1279.07
AFP:1672.11
AFP:17828
AFP:16131
AFP:16576
AFP:10570
AFP:8704
AFP:17324
AFP:10052
AFP:11469
s/p lenvatinib
lenvatinib
lenvatinib
lenvatinib
lenvatinib
lenvatinib
lenvatinib
Periods
abdomen R/T 25 times
s/p lenvatinib(TKI)
s/p lenvatinib
admission for lung biopsy
after discharged, patient still dyspnea
chest R/T + steroid for suspected tumor obstruction, with dyspnea improved
suspected HAP and mediastinitis
CDI diarrhea, s/p metronidazole
subcutaneous emphysema and pneumonediastinum
s/p prednisolone
s/p lenvatinib
fever
fever
s/p prednisolone
recurrent pneumothorax
CXR and dyspnea
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