Case Report

Sudden Unexpected Death in a Patient with Tumour Associated Pulmonary Embolism

Table 1

Overview of reported pulmonary tumour embolisms.

MalignancyChief complaintIn-hospital mortalityDiagnostic methods used

Atrial myxoma9Chest pain
Cough
Dyspnea
Fever
Shock
1
1
7
1
1
33,30%Autopsy
CT
Surgery
PETCT
2
6
6
1

Bladder4Chest pain
Dyspnea
None
1
2
1
100%Autopsy
Pulmonary angiogram
4
1

Breast30Chest pain
Dyspnea
None
2
28
2
93,30%Autopsy
Pulmonary angiogram
Aspiration cytology
Radio nuclear perfusion
Surgery
Ventilationperfusion scan
27
4
1
3
1
3

Colon5Abdominal pain
Cough
Dyspnea
Fever
None
1
1
2
1
1
100%Autopsy5

Kidney10Chest pain
Dyspnea
None
Shock
1
8
1
1
30%Autopsy
CT
Surgery
1
8
8

Liver9Chest pain
Dyspnea
Fever
None
2
5
1
2
88,90%Autopsy
Pulmonary angiogram
CT
Aspiration cytology
8
2
2
1

Lung12Cough
Dyspnea
None
Shock
1
9
1
1
91,70%Autopsy
Pulmonary angiogram
CT
Radio nuclear perfusion
Surgery
Ventilationperfusion scan
11
1
2
1
1
2

Oesophagus4Dyspnea4100%Autopsy4

Pancreas6Dyspnea
Fever
None
4
1
2
83,30%Autopsy
EUS
Ventilationperfusion scan
5
1
2

Prostate4Dyspnea
None
3
1
83,30%Autopsy4

Stomach38Cough
Dyspnea
Fever
None 
1
32
1
5
100%Autopsy
Pulmonary angiogram
CT
Aspiration cytology
Ventilationperfusion scan
37
1
2
1
3

Wilms’ tumour6Abdominal pain
Diffuse
Dyspnea
1
4
2
83,30%Autopsy
CT
Ventilationperfusion scan
5
1
1

Others38Chest pain
Cough
Dyspnea
Fever
None
Shock
3
2
31
2
1
1
52,60%Autopsy
Pulmonary angiogram
CT
Aspiration cytology
Radio nuclear perfusion
EUS
Surgery
Ventilationperfusion scan
16
2
19
1
4
1
12
5

Others include bile duct, bone, leukemia, lymphoma, cartilage, cervix, choriocarcinoma, epidural, Ewing, fibroelastoma, glioblastoma, cardiac leiomyomatosis, multiple myeloma, ovary, parotid gland, sphenoid sinus, testis, thyroid, synovial sarcoma, unknown, and uterus.