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Tumor Embolism

MedGen UID:
41750
•Concept ID:
C0013930
•
Neoplastic Process
Synonyms: Embolism, Tumor; Embolisms, Tumor; Tumor Embolisms
SNOMED CT: Tumor embolus (14799000); Tumor embolus (252986008); Tumor embolism (252986008)

Definition

A tumor embolism involves sudden blockage of an artery by a clot or by other material from tumor fragments transported by the blood stream. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVTumor Embolism

Professional guidelines

PubMed

Management of squamous cell carcinoma of the head and neck: updated European treatment recommendations.
Ramos M, Benavente S, Giralt J
Expert Rev Anticancer Ther 2010 Mar;10(3):339-44. doi: 10.1586/era.10.6. PMID: 20214515
Management of malignant pleural effusions.
Sahn SA
Monaldi Arch Chest Dis 2001 Oct;56(5):394-9. PMID: 11887496
Surgical treatment of pulmonary artery sarcoma.
Mayer E, Kriegsmann J, Gaumann A, Kauczor HU, Dahm M, Hake U, Schmid FX, Oelert H
J Thorac Cardiovasc Surg 2001 Jan;121(1):77-82. doi: 10.1067/mtc.2001.111423. PMID: 11135162

Recent clinical studies

Etiology

"Thrombus-first" or "thrombus-last" approach for surgical management of renal cell carcinoma with inferior vena cava thrombus.
Ishiyama Y, Kondo T, Yoshida K, Iizuka J, Tanabe K, Takagi T
Int J Urol 2022 Jun;29(6):559-565. Epub 2022 Mar 13 doi: 10.1111/iju.14846. PMID: 35285084
Pulmonary tumor embolism: A retrospective study over a 30-year period.
He X, Anthony DC, Catoni Z, Cao W
PLoS One 2021;16(8):e0255917. Epub 2021 Aug 11 doi: 10.1371/journal.pone.0255917. PMID: 34379693Free PMC Article
Pulmonary embolism at autopsy in cancer patients.
Gimbel IA, Mulder FI, Bosch FTM, Freund JE, Guman N, van Es N, Kamphuisen PW, Büller HR, Middeldorp S
J Thromb Haemost 2021 May;19(5):1228-1235. Epub 2021 Mar 26 doi: 10.1111/jth.15250. PMID: 33501757Free PMC Article
Pulmonary tumor embolization as early manifestation in patients with renal cell carcinoma and tumor thrombus: Perioperative management and outcomes.
Serena G, Gonzalez J, Gaynor JJ, Salerno T, Verzaro R, Ciancio G
J Card Surg 2019 Oct;34(10):1018-1023. Epub 2019 Aug 2 doi: 10.1111/jocs.14182. PMID: 31376225
Pulmonary tumor embolism to arterial vessels and carcinomatous lymphangitis. A comparative clinicopathological study.
Soares FA, Pinto AP, Landell GA, de Oliveira JA
Arch Pathol Lab Med 1993 Aug;117(8):827-31. PMID: 8343048

Diagnosis

Pulmonary Tumor Embolism and Pulmonary Tumor Thrombotic Microangiopathy Causing Rapidly Progressive Respiratory Failure: A Case Series.
Rajdev K, Madan U, McMillan S, Wilson K, Fisher K, Hein A, Patil A, Bista S, Hershberger D, Boer B
J Investig Med High Impact Case Rep 2022 Jan-Dec;10:23247096221086453. doi: 10.1177/23247096221086453. PMID: 35313765Free PMC Article
Intraluminal Arterial Filling Defects Misdiagnosed as Pulmonary Emboli: What Else Could They Be?
Rudkovskaia AA, Bandyopadhyay D
Clin Chest Med 2018 Sep;39(3):505-513. doi: 10.1016/j.ccm.2018.04.004. PMID: 30122175
Nonthrombotic Pulmonary Artery Embolism: Imaging Findings and Review of the Literature.
Unal E, Balci S, Atceken Z, Akpinar E, Ariyurek OM
AJR Am J Roentgenol 2017 Mar;208(3):505-516. Epub 2016 Nov 8 doi: 10.2214/AJR.16.17326. PMID: 27824484
Pulmonary tumor embolism.
Lammi M, Wurzel J, Criner GJ
Lung 2010 Oct;188(5):441-3. Epub 2010 Jul 6 doi: 10.1007/s00408-010-9249-0. PMID: 20607269
Pulmonary tumor embolism.
Bassiri AG, Haghighi B, Doyle RL, Berry GJ, Rizk NW
Am J Respir Crit Care Med 1997 Jun;155(6):2089-95. doi: 10.1164/ajrccm.155.6.9196119. PMID: 9196119

Therapy

"Thrombus-first" or "thrombus-last" approach for surgical management of renal cell carcinoma with inferior vena cava thrombus.
Ishiyama Y, Kondo T, Yoshida K, Iizuka J, Tanabe K, Takagi T
Int J Urol 2022 Jun;29(6):559-565. Epub 2022 Mar 13 doi: 10.1111/iju.14846. PMID: 35285084
Pulmonary manifestations of urothelial carcinoma of the bladder.
Agrawal A, Sahni S, Vulisha AK, Gumpeni R, Shah R, Talwar A
Respir Med 2017 Jul;128:65-69. Epub 2017 May 16 doi: 10.1016/j.rmed.2017.05.006. PMID: 28610671
Pulmonary manifestations of renal cell carcinoma.
Agrawal A, Sahni S, Iftikhar A, Talwar A
Respir Med 2015 Dec;109(12):1505-8. Epub 2015 Oct 9 doi: 10.1016/j.rmed.2015.10.002. PMID: 26525375
Management of squamous cell carcinoma of the head and neck: updated European treatment recommendations.
Ramos M, Benavente S, Giralt J
Expert Rev Anticancer Ther 2010 Mar;10(3):339-44. doi: 10.1586/era.10.6. PMID: 20214515
Unusual forms of pulmonary embolism.
King MB, Harmon KR
Clin Chest Med 1994 Sep;15(3):561-80. PMID: 7982347

Prognosis

Uncommon thoracic manifestations from extrapulmonary tumors: Computed tomography evaluation - Pictorial review.
Franquet T, Rosado-de-Christenson ML, Marchiori E, Abbott GF, Martínez-Jiménez S, López L
Respir Med 2020 Jul;168:105986. Epub 2020 Apr 28 doi: 10.1016/j.rmed.2020.105986. PMID: 32469707
Pulmonary tumor embolism secondary to soft tissue and bone sarcomas: a case report and literature review.
Latchana N, Daniel VC, Gould RW, Pollock RE
World J Surg Oncol 2017 Aug 30;15(1):168. doi: 10.1186/s12957-017-1223-3. PMID: 28854949Free PMC Article
Pulmonary tumor embolism.
Lammi M, Wurzel J, Criner GJ
Lung 2010 Oct;188(5):441-3. Epub 2010 Jul 6 doi: 10.1007/s00408-010-9249-0. PMID: 20607269
Cancer and pulmonary embolism: thrombotic embolism, tumor embolism, and tumor invasion into a large vein.
Sakuma M, Fukui S, Nakamura M, Takahashi T, Kitamukai O, Yazu T, Yamada N, Ota M, Kobayashi T, Nakano T, Shirato K
Circ J 2006 Jun;70(6):744-9. doi: 10.1253/circj.70.744. PMID: 16723797
Pulmonary tumor embolism.
Bassiri AG, Haghighi B, Doyle RL, Berry GJ, Rizk NW
Am J Respir Crit Care Med 1997 Jun;155(6):2089-95. doi: 10.1164/ajrccm.155.6.9196119. PMID: 9196119

Clinical prediction guides

Pulmonary embolism at autopsy in cancer patients.
Gimbel IA, Mulder FI, Bosch FTM, Freund JE, Guman N, van Es N, Kamphuisen PW, Büller HR, Middeldorp S
J Thromb Haemost 2021 May;19(5):1228-1235. Epub 2021 Mar 26 doi: 10.1111/jth.15250. PMID: 33501757Free PMC Article
Tumor Vessel Targeted Self-Assemble Nanoparticles for Amplification and Prediction of the Embolization Effect in Hepatocellular Carcinoma.
Wang Y, Shang W, Zhong H, Luo T, Niu M, Xu K, Tian J
ACS Nano 2020 Nov 24;14(11):14907-14918. Epub 2020 Oct 28 doi: 10.1021/acsnano.0c04341. PMID: 33111520
Uncommon thoracic manifestations from extrapulmonary tumors: Computed tomography evaluation - Pictorial review.
Franquet T, Rosado-de-Christenson ML, Marchiori E, Abbott GF, Martínez-Jiménez S, López L
Respir Med 2020 Jul;168:105986. Epub 2020 Apr 28 doi: 10.1016/j.rmed.2020.105986. PMID: 32469707
Pulmonary tumor embolization as early manifestation in patients with renal cell carcinoma and tumor thrombus: Perioperative management and outcomes.
Serena G, Gonzalez J, Gaynor JJ, Salerno T, Verzaro R, Ciancio G
J Card Surg 2019 Oct;34(10):1018-1023. Epub 2019 Aug 2 doi: 10.1111/jocs.14182. PMID: 31376225
Intraluminal Arterial Filling Defects Misdiagnosed as Pulmonary Emboli: What Else Could They Be?
Rudkovskaia AA, Bandyopadhyay D
Clin Chest Med 2018 Sep;39(3):505-513. doi: 10.1016/j.ccm.2018.04.004. PMID: 30122175

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