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KMID : 0383819870340010089
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Tuberculosis and Respiratory Diseases
1987 Volume.34 No. 1 p.89 ~ p.91
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Diffuse Interstitial Infiltration of the Lung with Blood Tinged Sputum and Dyspnea
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Abstract
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The lymphangitic carcinomatosis of the lung is characterized by the extensive
infiltration of pulmonary lymphatics with metastatic carcinoma. It is a late and fatal
manifestation of cancer.
The diagnosis is seldom made antemortem. Authors have observed a case of
histologically proven pulmonary hymphangitic carcinomatosis originated from the
carcinoma of the stomach. A 33 years old man was admitted to the department of
internal medicine, Seoul Paik Hospital because of coughing for 3 months. Auscultation of
the chest revealed rales in both lower lung fields. Chest roentgenogram demonstrated
bilateral interstitial infiltration most marked in both lower lung fields. Transbronchial
biopsies were obtained from the right middle lobe and revealed poorly differentiated
adenocarcinoma in bronchial and peribronchiolar lymphatics. Gastrofiberscopy was
subsequently performed for detecting primary tumors and demonstrated Borrmann type
Ⅲ stomach cancer in the proximal antrum. Microscopically, poorly differentiated
adenocarcima of the stomach was seen in this lesion. He has neither symptoms nor
signs referable to the primary site of the tumor. A month after discharged, he got
worsened and died.4 brief review of related articles was also made.
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