Wan-Hsiu Liao, Sheng-Hsiang Lin, Tsu-Tuan Wu
Department of Family Medicine, Taipei County Hospital, Taipei County, Taiwan (R.O.C.).
Cases J. 2009 May 12;2:7428. doi: 10.1186/1757-1626-2-7428.
We present a case of advanced pancreatic cancer with diffuse pulmonary interstitial infiltrates and dyspnea in a 61-year-old Asian Taiwanese female. Although surgical lung biopsy is the diagnostic gold standard in most interstitial lung disease, it frequently leads to complications in sick patients. Based on the overall clinico-radiologic correlation, a diagnosis of pulmonary lymphangitic carcinomatosis was supported by the characteristic findings in high-resolution computed tomography.
我们报告一例61岁的亚洲台湾女性晚期胰腺癌患者,伴有弥漫性肺间质浸润和呼吸困难。虽然手术肺活检是大多数间质性肺病的诊断金标准,但它经常会在病情较重的患者中引发并发症。基于整体临床与放射学的相关性,高分辨率计算机断层扫描的特征性表现支持了肺淋巴管癌病的诊断。