Department of Respiratory Internal Medicine, Innoshima Ishikai Hospital, 1962 Innoshima-Nakanosho, Onomichi, 722-7221, Japan.
Department of Respiratory Internal Medicine, Hiroshima University Hospital, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8551, Japan.
Clin J Gastroenterol. 2021 Apr;14(2):484-488. doi: 10.1007/s12328-020-01315-0. Epub 2021 Jan 16.
Pulmonary lymphangitic carcinomatosis is one rare pattern of pulmonary metastases in advanced cancers. Gastric cancer is one of the most common forms of cancer that causes pulmonary lymphangitic carcinomatosis. However, recurrent gastric cancer presenting as pulmonary lymphangitic carcinomatosis after surgery is extremely rare. Furthermore, recurrence is usually observed within 5 years. We present the first case of pulmonary lymphangitic carcinomatosis in a patient with recurrent gastric cancer, 19 years after resection. In patients with a history of gastric cancer and the presence of interstitial shadow, pulmonary lymphangitic carcinomatosis should be considered in the differential diagnosis even if several years have passed since surgery.
肺淋巴管癌病是晚期癌症肺转移的一种罕见模式。胃癌是导致肺淋巴管癌病的最常见癌症之一。然而，手术后复发性胃癌引起的肺淋巴管癌病极为罕见。此外，复发通常发生在术后 5 年内。我们报告了首例复发性胃癌术后 19 年发生肺淋巴管癌病的病例。对于有胃癌病史且存在间质性阴影的患者，即使在手术后数年，也应考虑肺淋巴管癌病的鉴别诊断。
