Pulmonary lymphangitic carcinomatosis as a primary manifestation of gastric carcinoma in a young adult: A case report and review of the literature

被引：24
作者：
Moubax K. [1 ]
Wuyts W. [2 ]
Vandecaveye V. [3 ]
Prenen H. [1 ]
机构：
[1] Department of Gastroenterology, University Hospitals Leuven, Digestive Oncology Unit, 3000, Leuven
[2] Department of Pneumology, University Hospitals Leuven, Leuven
[3] Department of Radiology, University Hospitals Leuven, Leuven
来源：
BMC Research Notes | / 5卷 / 1期
关键词：
Gastric cancer; Lymphangitic carcinomatosis; Whole body MRI;
D O I：
10.1186/1756-0500-5-638
中图分类号：
学科分类号：
摘要：
Background: Lymphangitic carcinomatosis as a manifestation of gastric carcinoma is rare. The presenting symptoms are misleading and nonspecific, often resulting in delayed diagnosis. Case presentation. We present a case of a 24 year old male with progressive dyspnea. Initial radiologic assessment suggested interstitial lung disease, which was subsequently treated with antibiotics and corticosteroids. However, endoscopy and whole body diffusion-weighted magnetic resonance imaging revealed a metastatic gastric cancer with the presence of lymphangitic carcinomatosis. Conclusions: Pulmonary lymphangitic carcinomatosis is a rare manifestation of metastatic gastric cancer. Patients present with severe but non-specific respiratory complaints. Definitive diagnosis can be achieved by transbronchial biopsy. Prognosis is poor and optimal treatment is not defined. Whole body diffusion-weighted magnetic resonance imaging is a promising imaging tool for the diagnosis of metastatic gastric cancer. © 2012 Moubax et al.; licensee BioMed Central Ltd.
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