Yamada M, Kudoh S, Hirata K, Yoshikawa J
First Department of Internal Medicine, Osaka City University Medical School, 1-4-3 Asahimachi, Abeno-ku, Osaka 545-8585, Japan.
Nihon Kokyuki Gakkai Zasshi. 2001 May;39(5):343-6.
We describe a case in which bilateral chylothorax was the initial presenting manifestation of a gastric cancer (scirrhous type). A 58-year-old woman was admitted because of acute right subclavian vein thrombosis. Following admission, she complained of dyspnea on effort and on the 14th hospital day chest X-ray examination revealed bilateral pleural effusion. Biochemical tests of the pleural fluid detected chyle, and cytological examinations revealed mucinous adenocarcinoma bilaterally. An upper gastrointestinal examination revealed gastric cancer (scirrhous type). Carcinoma of the stomach has very rarely been described as the cause of chylothorax, but our findings indicate the need to rule out a gastric neoplasm in patients with chylothorax of no clear cause.
我们描述了一例以双侧乳糜胸为胃癌（硬癌型）首发表现的病例。一名58岁女性因急性右锁骨下静脉血栓形成入院。入院后，她主诉活动时呼吸困难，在住院第14天胸部X线检查发现双侧胸腔积液。胸腔积液的生化检查检测到乳糜，细胞学检查双侧均发现黏液腺癌。上消化道检查发现胃癌（硬癌型）。胃癌很少被描述为乳糜胸的病因，但我们的研究结果表明，对于病因不明的乳糜胸患者，需要排除胃肿瘤。
