一名 78 岁男性，有胃胃肠道间质瘤 (GIST) 病史，并已转移至肝脏，在肝转移病灶放射性栓塞治疗后 1 周开始出现进行性呼吸短促、干咳和主观发热。 10 年前，他首次诊断出患有胃肠道间质瘤，并接受了手术切除。然而，最近他的肝脏病变活检被证明是转移性胃肠道间质瘤病变。他表示，在放射栓塞手术前，他没有任何呼吸道症状，并否认有肺部疾病史。他的病史还包括 2002 年冠状动脉旁路移植术后的冠状动脉疾病、射血分数降低的心力衰竭以及放置起搏器后的房室传导阻滞。诊断出肝转移后，他提前 6 个月开始接受伊马替尼治疗，随后接受了钇 90 (Y-90) 微球放射性栓塞治疗。版权所有 © 2024 美国胸科医师学会。由爱思唯尔公司出版。保留所有权利。

A 78-year-old man with a history of GI stromal tumor (GIST) in the stomach with metastasis to the liver presented with progressive shortness of breath, dry cough, and subjective fever that started 1 week after radioembolization of liver metastatic lesions. His initial diagnosis of GIST was 10 years before, for which he underwent surgical resection; however, more recently he was noted to have hepatic lesions biopsy-proven to be metastatic GIST lesions. He stated that he did not have any respiratory symptoms before the radioembolization procedure and denied having a history of pulmonary disease. His medical history was otherwise notable for coronary artery disease post coronary artery bypass graft in 2002, heart failure with reduced ejection fraction, and atrioventricular block after pacemaker placement. After the diagnosis of liver metastasis, he began treatment with imatinib 6 months earlier and consequently received radioembolization with yttrium-90 (Y-90) microspheres.Copyright © 2024 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.