Green N, Swanson L, Kern W, Homann R, Irwin L, Berne C J
J Nucl Med. 1976 Apr;17(4):258-60.
Lymphangitic carcinomatosis of the lung is a late and fatal manifestation of cancer. The diagnosis is seldom made ante mortem. Four patients with breast cancer had autopsy-proven lymphangitic metastases of the lung. Of these patients, two had normal chest x-rays and three had normal ventilation lung scans. The perfusion lung scans of all four showed irregular peripheral perfusion defects. Autopsies showed permeation of the lymphatics by tumor and tumor emboli in small arteries and arterioles.
肺淋巴管癌病是癌症的一种晚期致命表现。生前很少能做出诊断。4例乳腺癌患者经尸检证实有肺淋巴管转移。在这些患者中，2例胸部X线检查正常，3例通气肺扫描正常。所有4例患者的灌注肺扫描均显示外周不规则灌注缺损。尸检显示肿瘤侵犯淋巴管以及小动脉和小动脉内有肿瘤栓子。
