A Rare Case of Pulmonary Lymphangitic Carcinomatosis in a Young Adult with Carcinoma Stomach
Journal Title: Journal of Clinical and Diagnostic Research - Year 2017, Vol 11, Issue 8
Abstract
Pulmonary Lymphangitic Carcinomatosis (PLC) occurs in about 6-8% of patients with lung metastasis and may rarely develop in the course of gastric cancer representing a complication due to diffuse metastasis in the lymphatics of the lungs. A 29-yearold female, admitted with difficulty in breathing and productive cough for one week, was initially evaluated for respiratory tract infection. During evaluation of associated anaemia an upper gastrointestinal endoscopy showed large ulcerative growth in the lesser curvature of the stomach suggestive of carcinoma. A High Resolution Computed Tomographic (HRCT) scan of the lungs was done for evaluation of the pulmonary opacities on chest x-ray which showed nodular thickening of interlobular septa with peribronchial cuffing and fissural thickening. The biopsy of the gastric ulcer was suggestive of poorly differentiated malignancy. With the cumulative results of the investigations a diagnosis of poorly differentiated carcinoma of stomach with pulmonary metastasis as lymphangitic carcinomatosis was made. PLC is an extremely rare manifestation of metastatic gastric cancer. Though associated with an extremely poor prognosis, advanced gastric cancer in younger patients presenting with symptoms and signs of respiratory disease should alert the physician of a possible diagnosis of PLC.
Authors and Affiliations
Prasanta Kumar Bhattacharya, Md. Jamil, Yookarin Khonglah, Aakash Roy, Murti V. Subrahmanya
Keywords
Related Articles
- EP ID EP358911
- DOI 10.7860/JCDR/2017/27352.10397
- Views 51
- Downloads 0
Permanent Maxillary Central Incisor with Dilacerated Crown and Root and C-Shaped Root Canal
Dilaceration is a rare disturbance in traumatised permanent teeth, which constitutes about 3% of the injuries to developing teeth. It usually occurs as a result of trauma to the deciduous predecessors and results in non...
Estimation of Stature from Hand Dimension among Indigenous Karbi Tribal Population of Assam, Northeast India
ABSTRACT Introduction: Estimation of stature is an important parameter in the personal identification from human remains such as hand, foot and limbs in forensic examination in the field of Forensic Anthropology. Aim: To...
Variations in the Drainage Pattern of Middle Hepatic Vein and Left Hepatic Vein in the Left Lobe of Liver
ABSTRACT Introduction: The Left Hepatic Vein (LHV) and the Middle Hepatic Vein (MHV) presents with wide variations, the knowledge of which is very important during various surgeries of the left lobe as well as right lobe...
A Rare Collision Tumour of UterusSquamous Cell Carcinoma and Endometrial Stromal Sarcoma
Collision tumours are defined by co-existence of two tumours in the same or adjacent organs which are topographically and histologically distinct with minimal or no histological admixture. Collision tumours have been des...
Antimicrobial Effect of Leaves of Phyllanthus niruri and Solanum nigrum on Caries Causing Bacteria: An In vitro Study
Introduction: Solanum nigrum and Phyllanthus niruri are common herbs which are indigeneous to India. Solanum nigrum commonly called ‘manathakkali Keerai’ in Tamil, forms an indispensable part of South Indian diet. Phylla...