Translate case to... Lymphangitis carcinomatosa - Thoracic Imaging

Title: Thoracic Imaging - Lymphangitis carcinomatosa
Diagnosis: Lymphangitis carcinomatosa
Author: Martins Martina
Comment: Howarth Nigel
Hospital: HUG
Department: Département de Radiologie
State: Terminée
Date: 21.03.2003
: 3391
KeyWords: Lymphangitis carcinomatosa; metastasis
Anatomy: Thorax
Chapter: Tumour
ACR: 60.45

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Clinical Presentation: Patient with advanced prostatecancer.
Comment: Lymphangitis carcinomatosa is usually a manifestationof blood-borne
dissemination. It is often associated with breast,stomach, pancreas, prostate or cervical
cancer. Its radiologicalfindings include peribronchovascular and interlobular
septalthickening, regular and nodular. Enlarged lymph nodes and pleuraleffusion are
possible.
Description: The chest X-ray taken in 1998 was normal. The chestX-ray taken in
2001 when a prostate cancer was diagnosed showsmultiple confluent pulmonary nodules.
On CT images,peribronchovascular and inter- and intralobular septal thickening,with
multiple pulmonary nodules are indicative of lymphangitiscarcinomatosa and blood-borne
metastasis.


Order: 0
Dislocation: 0
Polytrauma: 0
Open: 0
Pathologic: 0
Operation: 00.00.00
Graft: 0

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References: Munk PL, M¸ller NL, Miller RR, Ostrow DN. Pulmonarylymphangitic
carcinomatosis: CT and pathologic findings. Radiology1988;166:705-709. McCloud TC.
Imaging techniques for diagnosis andstaging of lung cancer. Clin Chest Med
2002;23:123-136. Travis WD.Pathology of lung cancer. Clin Chest Med 2002;23:65-82.