Miyazaki Shinichi, Noda Hiroyuki, Morita Terumi, Joman Megumi, Okada Mutsuhiro, Moriyama Yasuo, Suzuki Kazunori, Takeuchi Tsutomu
Department of Physiology, Tottori-Seikyo Hospital.
Nihon Shokakibyo Gakkai Zasshi. 2007 Sep;104(9):1359-64.
We report a case of gastric cancer that was detected due to chylothorax. A 64-year-old man visited our hospital with chief complaints of anterior chest pain and right lower leg swelling. Chest X-ray showed bilateral pleural effusion. Biochemical tests of the pleural fluid detected chyle and cytological examination of the left pleural revealed poorly differentiated adenocarcinoma cells. An upper gastrointestinal examination revealed a type 4 gastric cancer that was diagnosed as the primary lesion. The appearance of the pleural effusion changed from chylaus to light yellow as the cancer progressed. Gastric cancer combined with chylothorax is quite rare and we discussed in this report how this change of the appearance of the pleural effusion occurred in comparison with the mechanism of chylothorax.
我们报告一例因乳糜胸而被发现的胃癌病例。一名64岁男性因前胸疼痛和右小腿肿胀为主诉前来我院就诊。胸部X光显示双侧胸腔积液。胸水生化检查发现乳糜，左侧胸水细胞学检查发现低分化腺癌细胞。上消化道检查发现4型胃癌，被诊断为原发灶。随着癌症进展，胸腔积液的外观从乳糜状变为淡黄色。胃癌合并乳糜胸相当罕见，我们在本报告中讨论了与乳糜胸机制相比，胸腔积液外观的这种变化是如何发生的。
