Nagano Naoko, Suzuki Manabu, Tamura Kentaro, Kobayashi Sakurako, Kojima Yasushi, Naka Go, Iikura Motoyasu, Izumi Shinyu, Takeda Yuichiro, Sugiyama Haruhito
Department of Respiratory Medicine, National Center for Global Health and Medicine, Japan.
Department of Gastroenterology, National Center for Global Health and Medicine, Japan.
Intern Med. 2019 Nov 1;58(21):3143-3148. doi: 10.2169/internalmedicine.2351-18. Epub 2019 Jul 10.
Chylothorax is the accumulation of lipid pleural effusion. Few reports have described chylothorax caused by gastric cancer. A 45-year-old woman presented with progressive lymphedema and bilateral chylothorax. Although repetitive thoracentesis was performed to relieve her dyspnea, swelling of her axillary lymph nodes became significant. Positron emission tomography/computed tomography demonstrated the accumulation of F-fluorodeoxyglucose in these nodes, and a lymph node biopsy showed signet ring cell carcinoma. The primary site was a 0-IIc type lesion in the gastric body that was only detected by upper gastrointestinal endoscopy. The patient was diagnosed with advanced gastric cancer 3.5 months after presentation for chylothorax.
乳糜胸是指脂质在胸腔内积聚。很少有报告描述由胃癌引起的乳糜胸。一名45岁女性出现进行性淋巴水肿和双侧乳糜胸。尽管反复进行胸腔穿刺以缓解其呼吸困难，但她腋窝淋巴结的肿胀变得明显。正电子发射断层扫描/计算机断层扫描显示这些淋巴结中有氟脱氧葡萄糖积聚，淋巴结活检显示印戒细胞癌。原发部位是胃体部的0-IIc型病变，仅通过上消化道内镜检查发现。该患者在因乳糜胸就诊3.5个月后被诊断为晚期胃癌。
