Regueiro F, Roche P, Regueiro M V, Lozano R
Unit of Thoracic Surgery, Hospital Clínico Universitario, Zaragoza, Spain.
Thorac Cardiovasc Surg. 2005 Apr;53(2):122-3. doi: 10.1055/s-2004-830443.
Pulmonary carcinomatous lymphangitis is a form of neoplastic metastatic spread to the lungs, which represents a poor prognosis for the patient. The physician may be confronted by a differential diagnosis with diffuse pulmonary interstitial affections requiring specific treatment, including lung transplantation. We present the case of a patient, diagnosed with pulmonary interstitial disease with rapidly progressive worsening of lung function, who was considered for lung transplantation. Videothoracoscopic lung biopsy demonstrated the existence of carcinomatous lymphangitis, which completely changed the therapeutic direction.
肺癌性淋巴管炎是肿瘤转移至肺部的一种形式，这对患者来说预后较差。医生可能会面临与需要特殊治疗（包括肺移植）的弥漫性肺间质病变的鉴别诊断。我们报告一例被诊断为肺间质疾病且肺功能迅速进行性恶化的患者，该患者曾被考虑进行肺移植。电视胸腔镜肺活检显示存在癌性淋巴管炎，这完全改变了治疗方向。
