Abdul-Hafez Hamza A, Zayed Alaa, Maraqa Mohammed A, Natsheh Motaz, Asbeh Yousef Abu
Department of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine.
Department of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine.
Int J Surg Case Rep. 2025 Feb;127:110836. doi: 10.1016/j.ijscr.2025.110836. Epub 2025 Jan 3.
Pulmonary lymphangitis carcinomatosis (PLC) is a rare and aggressive condition that silently spreads cancer cells through the lungs' lymphatic system. Often linked to advanced malignancies, PLC often mimics other pulmonary diseases, making diagnosis challenging. This report shares the unique case of an asymptomatic patient whose routine follow-up imaging led to the early discovery of PLC, highlighting the life-saving potential of attentive medical care.
A 58-year-old man, previously treated for a benign colonic growth, found to have a small nodule on routine imaging. Though he had no symptoms, the nodule grew over six months, prompting surgery. Histopathological examination revealed early PLC secondary to an undiagnosed lung adenocarcinoma. Timely diagnosis and treatment, including surgery and chemotherapy, led to a favorable initial outcome.
This case highlights the importance of careful follow-up care and early detection, especially in asymptomatic individuals. PLC is rarely diagnosed in the absence of symptoms, and its incidental discovery provides a valuable opportunity for timely intervention. This report emphasizes the need for heightened awareness among clinicians to improve outcomes in such rare and challenging cases.
The case underscores the value of vigilant follow-up and thorough imaging evaluations, even in asymptomatic patients. Early detection of PLC can significantly alter the course of treatment and prognosis, reinforcing the importance of proactive medical care.
肺淋巴管癌病（PLC）是一种罕见且侵袭性强的疾病，癌细胞通过肺部淋巴系统悄然扩散。PLC常与晚期恶性肿瘤相关，常与其他肺部疾病相似，诊断具有挑战性。本报告分享了一例无症状患者的独特病例，其常规随访影像学检查导致PLC的早期发现，突出了细心医疗护理的救命潜力。
一名58岁男性，曾接受过良性结肠肿物治疗，在常规影像学检查中发现一个小结节。尽管他没有症状，但结节在六个月内增大，促使进行手术。组织病理学检查显示为未诊断出的肺腺癌继发早期PLC。及时的诊断和治疗，包括手术和化疗，带来了良好的初始结果。
该病例突出了仔细的随访护理和早期检测的重要性，尤其是在无症状个体中。PLC在没有症状的情况下很少被诊断出来，其偶然发现为及时干预提供了宝贵机会。本报告强调临床医生需要提高认识，以改善此类罕见且具有挑战性病例的治疗结果。
该病例强调了即使在无症状患者中进行警惕的随访和全面影像学评估的价值。PLC的早期发现可显著改变治疗进程和预后，强化了积极医疗护理的重要性。
