Tuberc Respir Dis.  1987 Mar;34(1):89-91. 10.4046/trd.1987.34.1.89.

Diffuse Interstitial Infiltration of the Lung with Blood Tinged Sputum and Dyspnea

• KMID: 2528678
• DOI: http://doi.org/10.4046/trd.1987.34.1.89

Abstract

The lymphangitic carcinomatosis of the lung is characterized by the extensive infiltration of pulmonary lymphatics with metastatic carcinoma. It is a late and fatal manifestation of cancer. The diagnosis is seldom made antemortem. Authors have observed a case of histologically proven pulmonary hymphangitic carcinomatosis originated from the carcinoma of the stomach. A 33 years old man was admitted to the department of internal medicine, Seoul Paik Hospital because of coughing for 3 months. Auscultation of the chest revealed rales in both lower lung fields. Chest roentgenogram demonstrated bilateral interstitial infiltration most marked in both lower lung fields Transbronchial biopsies were obtained from the right middle lobe and revealed poorly differentiated adenocarcinoma in bronchial and peribronchiolar lymphatics. Gastrofiberscopy was subsequently performed for detecting primary tumors and demonstrated Borrmann type III stomach cancer in the proximal antrum. Microscopically, poorly differentiated adenocarcima of the stomach was seen in this lesion, He has neither symptoms nor signs referable to the primary site of the tumor. 1 month after discharged, he got worsened and died. A brief review of related articles was also made.