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• W2912276283 endingPage "180065" @default.
• W2912276283 startingPage "180065" @default.
• W2912276283 abstract "Tumoral pulmonary hypertension (PH) comprises a variety of subtypes in patients with a current or previous malignancy. Tumoral PH principally includes the tumour-related pulmonary microvascular conditions pulmonary tumour microembolism and pulmonary tumour thrombotic microangiopathy. These inter-related conditions are frequently found in post mortem specimens but are notoriously difficult to diagnose ante mortem The outlook for patients remains extremely poor although there is some emerging evidence that pulmonary vasodilators and anti-inflammatory approaches may improve survival. Tumoral PH also includes pulmonary macroembolism and tumours that involve the proximal pulmonary vasculature, such as angiosarcoma; both may mimic pulmonary embolism and chronic thromboembolic PH. Finally, tumoral PH may develop in response to treatments of an underlying malignancy. There is increasing interest in pulmonary arterial hypertension induced by tyrosine kinase inhibitors, such as dasatanib. In addition, radiotherapy and chemotherapeutic agents such as mitomycin-C can cause pulmonary veno-occlusive disease. Tumoral PH should be considered in any patient presenting with unexplained PH, especially if it is poorly responsive to standard approaches or there is a history of malignancy. This article will describe subtypes of tumoral PH, their pathophysiology, investigation and management options in turn." @default.
• W2912276283 created "2019-02-21" @default.
• W2912276283 creator A5021739200 @default.
• W2912276283 creator A5022673030 @default.
• W2912276283 creator A5028561240 @default.
• W2912276283 creator A5031050958 @default.
• W2912276283 date "2019-02-06" @default.
• W2912276283 modified "2023-10-17" @default.
• W2912276283 title "Tumoral pulmonary hypertension" @default.
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