Tamura M, Komuro A
Gan To Kagaku Ryoho. 1982 Jul;9(6):979-84.
Despite the fact that the lungs have a plenty of blood and lymphatic supply, only 20-40% of pulmonary metastasis from the stomach cancer are found. Pulmonary metastases are most commonly described as well-circumscribed lesions complicated with hilar metastasis. However, the most important picture is that of diffuse lymphatic permeation, which may produce clinical and radiologic features of lymphangitis carcinomatosa showing a characteristic roentgenologic appearance, namely, a fine feathery interstitial streaking. Furthermore, pleuritis carcinomatosa is a common type of metastasis from the stomach cancer and often presents a difficult management problem. Instillation of cytotoxic or sclerosing agents into the pleural space can be effective in preventing recurrence.
尽管肺部有丰富的血液和淋巴供应，但胃癌的肺转移仅20% - 40%能被发现。肺转移瘤最常被描述为边界清晰的病灶并伴有肺门转移。然而，最重要的表现是弥漫性淋巴浸润，这可能产生癌性淋巴管炎的临床和放射学特征，呈现出特征性的放射学表现，即纤细的羽毛状间质条纹。此外，癌性胸膜炎是胃癌转移的常见类型，常常带来棘手的治疗难题。向胸腔内注入细胞毒性或硬化剂可有效预防复发。
