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 Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2013
Materias:
carcinomatous lymphangitis of the lungs
lymphangitic carcinomatous.
linfangitis carcinomatosa pulmonar
carcinomatosislinfangítica
Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/20283
Aporte de:
Revista de la Facultad de Ciencias Médicas de Córdoba de Universidad Nacional de Córdoba
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institution Universidad Nacional de Córdoba
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container_title_str Revista de la Facultad de Ciencias Médicas de Córdoba
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 Córdoba. 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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AT cambursanovictorhugo pulmonarycarcinomatouslymphangitispresentationasacutepneumopathyreportoftwocases
AT zayaa pulmonarycarcinomatouslymphangitispresentationasacutepneumopathyreportoftwocases
AT cortesjr pulmonarycarcinomatouslymphangitispresentationasacutepneumopathyreportoftwocases
AT redanilap linfangitiscarcinomatosapulmonarpresentacioncomoneumopatiaagudareportededoscasos
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AT cambursanovictorhugo linfangitiscarcinomatosapulmonarpresentacioncomoneumopatiaagudareportededoscasos
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spelling I10-R327-article-202832024-08-27T18:22:16Z Pulmonary carcinomatous lymphangitis: presentation as acute pneumopathy. Report of two cases. Linfangitis carcinomatosa pulmonar: presentación como neumopatía aguda. Reporte de dos casos Ré, Danila P. Cazaux, Alexis Cambursano, Victor Hugo Zaya, A. Cortés, JR carcinomatous lymphangitis of the lungs lymphangitic carcinomatous. linfangitis carcinomatosa pulmonar carcinomatosislinfangítica 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. Introducción: La linfangitis carcinomatosa(LC) representa el 6-8% de las metástasis pulmonares. Existe evidencia de que puede ser una condición oncológicamente tratable, con impacto sobre la progresión de la disnea y lesiones radiológicas, con mejoría de la sobrevida. Se describen dos casos con el objetivo de inducir la sospecha de esta entidad ante un paciente con datos de neumopatía aguda. Métodos: Caso 1: mujer 32 años, disnea progresiva y tos de dos semanas de evolución sin respuesta a antibióticos. Taquipnea, aumento del trabajo respiratorio, crepitantes bibasales. Insuficiencia respiratoria. Radiografía: radiopacidadalvéolointersticialbibasal.Se inicia tratamiento para neumonía grave de la comunidad. Evoluciona desfavorablemente con requerimiento de ARM y desenlace fatal. Caso 2: mujer 46 años, disnea progresiva y tos de una semana de evolución. Taquipnea, subcrepitantes difusos.Insuficiencia respiratoria. Radiografía: radiopacidadintersticionodulillar difusa, con imagen radiopaca homogénea en vértice derecho. TC-AR: engrosamiento nodular de los septos interlobulares e intersticio peribroncovascular. Se inicia tratamiento para TBC pulmonar. Evoluciona desfavorablemente con requerimiento de ARM y desenlace fatal. En ambos casos se realizó biopsia pulmonar con diagnóstico de LC. Discusión: Se presentan dos casos de neumopatía aguda afebril en pacientes jóvenes, cuyas manifestaciones orientaron al diagnóstico de infección respiratoria, y evolucionaron rápidamente hacia la insuficiencia respiratoria refractaria con requerimiento de ARM y desenlace fatal. Conclusión: La LC pulmonar debe incluirse comodiagnóstico diferencial ante cuadros de neumopatía aguda, principalmente cuando la evolución es desfavorable bajo antibióticos o se han excluido etiologías más frecuentes. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2013-03-13 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/20283 10.31053/1853.0605.v70.n1.20283 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 70 No. 1 (2013); 31-33 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 70 Núm. 1 (2013); 31-33 Revista da Faculdade de Ciências Médicas de Córdoba; v. 70 n. 1 (2013); 31-33 1853-0605 0014-6722 10.31053/1853.0605.v70.n1 spa https://revistas.unc.edu.ar/index.php/med/article/view/20283/19938 Derechos de autor 2013 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0

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