Moubax Kim, Wuyts Wim, Vandecaveye Vincent, Prenen Hans
Department of Gastroenterology, University Hospitals Leuven, Digestive Oncology Unit, Herestraat 49, 3000 Leuven, Belgium.
BMC Res Notes. 2012 Nov 16;5:638. doi: 10.1186/1756-0500-5-638.
Lymphangitic carcinomatosis as a manifestation of gastric carcinoma is rare. The presenting symptoms are misleading and nonspecific, often resulting in delayed diagnosis.
We present a case of a 24 year old male with progressive dyspnea. Initial radiologic assessment suggested interstitial lung disease, which was subsequently treated with antibiotics and corticosteroids. However, endoscopy and whole body diffusion-weighted magnetic resonance imaging revealed a metastatic gastric cancer with the presence of lymphangitic carcinomatosis.
Pulmonary lymphangitic carcinomatosis is a rare manifestation of metastatic gastric cancer. Patients present with severe but non-specific respiratory complaints. Definitive diagnosis can be achieved by transbronchial biopsy. Prognosis is poor and optimal treatment is not defined. Whole body diffusion-weighted magnetic resonance imaging is a promising imaging tool for the diagnosis of metastatic gastric cancer.
淋巴管癌病作为胃癌的一种表现形式较为罕见。其出现的症状具有误导性且不具特异性，常导致诊断延迟。
我们报告一例24岁男性进行性呼吸困难病例。初始影像学评估提示间质性肺疾病，随后给予抗生素和皮质类固醇治疗。然而，内镜检查和全身扩散加权磁共振成像显示为转移性胃癌伴淋巴管癌病。
肺淋巴管癌病是转移性胃癌的一种罕见表现。患者表现为严重但非特异性的呼吸道症状。通过经支气管活检可实现明确诊断。预后较差且最佳治疗方案尚未明确。全身扩散加权磁共振成像是诊断转移性胃癌的一种有前景的成像工具。
