Introduction. Lymphangitis carcinomatosa describes a condition of diffuse infiltration of the lymphatics of both the lungs by malignant cells. Pulmonary lymphangitic carcinomatosis (PLC) is a metastatic lung disease characterised by the diffuse infiltration and obstruction of the pulmonary parenchymal. The malignant pulmonary embolization syndromes, pulmonary tumor emboli and lymphangitic carcinomatosis, are associated with a poor.
|Published (Last):||24 July 2006|
|PDF File Size:||1.59 Mb|
|ePub File Size:||16.22 Mb|
|Price:||Free* [*Free Regsitration Required]|
There are currently no effective strategies to treat lymphangitis carcinomatosa. Despite these measures, her respiratory distress progressively worsened.
Lymphangitis Carcinomatosa: Report of a Case and Review of Literature
In most cases, lymphangitis carcinomatosis is caused by the dissemination of a tumor with its cells along the lymphatics. Lymphangitis carcinomatosa is a term introduced by Troisier in to describe diffuse infiltration of the lymphatics of both the lungs by malignant cells. Nodular shadows are most commonly seen but diffuse shadows, hilar lymphadenopathy and pleural effusion are additional findings [ 4 ].
It should be included in the differential diagnosis of patients with acute progressive respiratory failure and malignancy, not responding to conventional medication. The first states that there is haematogenous metastasis producing obliterative endarteritis and then tumor cells subsequently egress through vascular walls into the perivascular lymphatics.
It may also occur by retrograde spread into the lymphatics from the mediastinal and hilar lymph nodes. Case 2 Case 2. Lung parenchyma with dilated lymphatic channels filled with malignant appearing cells suggestive of metastatic adenocarcinoma. Lymphangitic spread of metastatic cancer to the lung. Pulmonary lymphangitic carcinomatosis from occult stomach carcinoma in young adults: Radiographic appearances can most easily be divided into those due to the involvement of the peripheral interlobular septa and central lymphatic system.
The sputum examination did not reveal acid fast bacilli.
Lymphangitis carcinomatosa – Wikipedia
Prognosis of patients with lymphangitic carcinomatosis is poor, with approximately half of patients succumbing to their illness within a year of diagnosis 2,3.
Thickening of the bronchovascular interstitium is usually irregular and nodular, with changes seen extending towards the hilum 4. None, Conflict of Interest: Her general condition did not permit evaluation by CT chest or endoscopy. Paraneoplastic syndromes Medical mnemonics.
It can also be seen in numerous other primary cancers, e. J R Coll Surg Edinb. Case 5 Case 5. A presumptive diagnosis of pneumonia was made and she was started on broad spectrum antibiotics.
Q J Med ; The high resolution CT scan with 1. Unfortunately up to a quarter of patients with subsequently established lymphangitic carcinomatosis have normal chest x-rays 2.
The condition affects males more than the females Peri-epithelial and lymphatic tumor emboli were also seen.
The clinical presentation and progression of our patient agrees with that reported by other authors who noted incapacitating unremitting dyspnoea as the most common and distressing feature of the patient [ 3 ]. Arterial blood gas analysis was suggestive of Type I respiratory failure.
She was scheduled for an endoscopic evaluation, but she presented to the emergency on the second day with acute breathlessness.