Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Case report
Year : 2017 | Month : August | Volume : 11 | Issue : 8 | Page : OD07 - OD09

A Rare Case of Pulmonary Lymphangitic Carcinomatosis in a Young Adult with Carcinoma Stomach

Prasanta Kumar Bhattacharya, Md. Jamil, Yookarin Khonglah, Aakash Roy, Murti V. Subrahmanya

1. Professor and Head, Department of General Medicine, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences, Shillong, Meghalaya, India. 2. Assistant Professor, Department of General Medicine, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences, Shillong, Meghalaya, India. 3. Associate Professor, Department of Pathology, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences, Shillong, Meghalaya, India. 4. Postgraduate Student, Department of General Medicine, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences, Shillong, Meghalaya, India. 5. Postgraduate Student, Department of General Medicine, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences, Shillong, Meghalaya, India.

Correspondence Address :
Dr. Prasanta Kumar Bhattacharya,
Professor and Head, Department of General Medicine, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences,
Shillong-793018, Meghalaya, India.
E-mail: pkbdr78@gmail.com

Abstract

Pulmonary Lymphangitic Carcinomatosis (PLC) occurs in about 6-8% of patients with lung metastasis and may rarely develop in the course of gastric cancer representing a complication due to diffuse metastasis in the lymphatics of the lungs. A 29-year-old female, admitted with difficulty in breathing and productive cough for one week, was initially evaluated for respiratory tract infection. During evaluation of associated anaemia an upper gastrointestinal endoscopy showed large ulcerative growth in the lesser curvature of the stomach suggestive of carcinoma. A High Resolution Computed Tomographic (HRCT) scan of the lungs was done for evaluation of the pulmonary opacities on chest x-ray which showed nodular thickening of interlobular septa with peribronchial cuffing and fissural thickening. The biopsy of the gastric ulcer was suggestive of poorly differentiated malignancy. With the cumulative results of the investigations a diagnosis of poorly differentiated carcinoma of stomach with pulmonary metastasis as lymphangitic carcinomatosis was made. PLC is an extremely rare manifestation of metastatic gastric cancer. Though associated with an extremely poor prognosis, advanced gastric cancer in younger patients presenting with symptoms and signs of respiratory disease should alert the physician of a possible diagnosis of PLC.

Keywords

Gastric cancer, Lung manifestation, Young female

How to cite this article :

Prasanta Kumar Bhattacharya, Md. Jamil, Yookarin Khonglah, Aakash Roy, Murti V. Subrahmanya. A RARE CASE OF PULMONARY LYMPHANGITIC CARCINOMATOSIS IN A YOUNG ADULT WITH CARCINOMA STOMACH. Journal of Clinical and Diagnostic Research [serial online] 2017 August [cited: 2017 Aug 20 ]; 11:OD07-OD09. Available from
http://jcdr.net/back_issues.asp?issn=0973-709x&year=2017&month=August&volume=11&issue=8&page=OD07-OD09&id=10397

DOI and Others

10.7860/JCDR/2017/27352.10397

Date of Submission: Feb 08, 2017
Date of Peer Review: Apr 29, 2017
Date of Acceptance: Jun 08, 2017
Date of Publishing: Aug 01, 2017

Financial OR OTHER COMPETING INTERESTS: None.

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