Pulmonary carcinomatous lymphangitis: presentation as acute pneumopathy. Report of two cases.

Introduction: Carcinomatous lymphangitis of the lung accounts for 6-8% of lung s metastases. There are evidence that it can be a treatable condition with an impact on progression of dyspnea and radiographic lesions, and survival improvement. Two cases are reported, with the aim of increase the clini...

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Autores principales: Ré, Danila P., Cazaux, Alexis, Cambursano, Victor Hugo, Zaya, A., Cortés, JR
Formato: Artículo revista
Lenguaje:Español
Publicado: Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2013
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Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/20283
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id I10-R10article-20283
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institution Universidad Nacional de Córdoba
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container_title_str Revistas de la UNC
language Español
format Artículo revista
topic carcinomatous lymphangitis of the lungs
lymphangitic carcinomatous.
linfangitis carcinomatosa pulmonar
carcinomatosislinfangítica
spellingShingle carcinomatous lymphangitis of the lungs
lymphangitic carcinomatous.
linfangitis carcinomatosa pulmonar
carcinomatosislinfangítica
Ré, Danila P.
Cazaux, Alexis
Cambursano, Victor Hugo
Zaya, A.
Cortés, JR
Pulmonary carcinomatous lymphangitis: presentation as acute pneumopathy. Report of two cases.
topic_facet carcinomatous lymphangitis of the lungs
lymphangitic carcinomatous.
linfangitis carcinomatosa pulmonar
carcinomatosislinfangítica
author Ré, Danila P.
Cazaux, Alexis
Cambursano, Victor Hugo
Zaya, A.
Cortés, JR
author_facet Ré, Danila P.
Cazaux, Alexis
Cambursano, Victor Hugo
Zaya, A.
Cortés, JR
author_sort Ré, Danila P.
title Pulmonary carcinomatous lymphangitis: presentation as acute pneumopathy. Report of two cases.
title_short Pulmonary carcinomatous lymphangitis: presentation as acute pneumopathy. Report of two cases.
title_full Pulmonary carcinomatous lymphangitis: presentation as acute pneumopathy. Report of two cases.
title_fullStr Pulmonary carcinomatous lymphangitis: presentation as acute pneumopathy. Report of two cases.
title_full_unstemmed Pulmonary carcinomatous lymphangitis: presentation as acute pneumopathy. Report of two cases.
title_sort pulmonary carcinomatous lymphangitis: presentation as acute pneumopathy. report of two cases.
description Introduction: Carcinomatous lymphangitis of the lung accounts for 6-8% of lung s metastases. There are evidence that it can be a treatable condition with an impact on progression of dyspnea and radiographic lesions, and survival improvement. Two cases are reported, with the aim of increase the clinical suspicion at compatible cases. Methods:Case 1: woman 32 years old. Progressive dyspnea and cough two weeks ago, without antibiotic response. Tachypnea, increase of respiratory work, basal crackles.Respiratory failure. Radiography: basal alveolointerstitial opacities. Treatment for severe community-acquired pneumonia is started. She evolves unfavorably, with need of MRA and fatal outcome. Case 2: woman 46 years old. Progressive dyspnea and cough from one week ago. Tachypnea, diffuse crackles. Respiratory failure. Radiography: diffuse nodular-interstitialradiopacity, with radiopacy lesion in right apex. HRCT: nodular thickening of interlobular septum and peribrochovascular interstitial. Treatment for tuberculosis of the lung is started. She evolves unfavorably, with need of MRA and fatal outcome. In both cases a lung biopsy was performed, diagnosing carcinomatous lymphangitis. Discussion: Two cases are reported, with acute afebrilepneumopathyin young patients, whose manifestations guided to treatment of respiratory infection, and evolved quickly to refractory hypoxemic respiratory failure with need of MRA and fatal outcome.Conclusion: Carcinomatous lymphangitis of the lung should be included as a differential diagnosis of cases of acute lung pathology, especially when there was an unfavorable evolution under antibiotics or have excluded more common etiologies.
publisher Universidad Nacional Cba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2013
url https://revistas.unc.edu.ar/index.php/med/article/view/20283
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