Medical image of the week: lymphangitic cacinomatosis
A 64-year-old woman, never-smoker, was evaluated for shortness of breath and left leg swelling. An abnormal initial chest X-Ray lead to computed tomography (CT) scan of the chest. She was also diagnosed with deep vein thrombosis (DVT) of her left leg. CT of the chest with intravenous contrast showed...
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Arizona Thoracic Society
2017-05-01
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doaj-3214ff8a45e5472fab5a090c979f3e182020-11-24T22:14:45ZengArizona Thoracic SocietySouthwest Journal of Pulmonary and Critical Care2160-67732017-05-0114524024010.13175/swjpcc053-17Medical image of the week: lymphangitic cacinomatosisDalabih MR 0Malo J1Pulmonary Consultants, Tacoma, WA USAUniversity of Arizona, Tucson, AZ USAA 64-year-old woman, never-smoker, was evaluated for shortness of breath and left leg swelling. An abnormal initial chest X-Ray lead to computed tomography (CT) scan of the chest. She was also diagnosed with deep vein thrombosis (DVT) of her left leg. CT of the chest with intravenous contrast showed a mass-like consolidation in the right upper lobe and thickening of the peripheral interlobular septa and of the bronchovascular bundles consistent with lymphangitic carcinomatosis (Figure 1). Endobronchial ultrasound (EBUS) guided transbronchial needle aspirations of the station 10 R Lymph node were positive for adenocarcinoma of lung origin. Lymphangitic carcinomatosis occurs when cancer cells spread along the pulmonary lymphatic system and result in thickening of the bronchovascular bundle, the interlobular septa, or both (1). Histopathologically, specimens show interlobular and subpleural interstitial desmoplastic thickening and obstruction of lymphatic vessels by tumor cells. It carries a poor prognosis.http://www.swjpcc.com/imaging/2017/5/24/medical-image-of-the-week-lymphangitic-carcinomatosis.htmlcancerlymphangiticspreadcarcinomatosislungCT scanseptal thickeningdeep venous thrombosisbronchovascular bundle |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Dalabih MR Malo J |
spellingShingle |
Dalabih MR Malo J Medical image of the week: lymphangitic cacinomatosis Southwest Journal of Pulmonary and Critical Care cancer lymphangitic spread carcinomatosis lung CT scan septal thickening deep venous thrombosis bronchovascular bundle |
author_facet |
Dalabih MR Malo J |
author_sort |
Dalabih MR |
title |
Medical image of the week: lymphangitic cacinomatosis |
title_short |
Medical image of the week: lymphangitic cacinomatosis |
title_full |
Medical image of the week: lymphangitic cacinomatosis |
title_fullStr |
Medical image of the week: lymphangitic cacinomatosis |
title_full_unstemmed |
Medical image of the week: lymphangitic cacinomatosis |
title_sort |
medical image of the week: lymphangitic cacinomatosis |
publisher |
Arizona Thoracic Society |
series |
Southwest Journal of Pulmonary and Critical Care |
issn |
2160-6773 |
publishDate |
2017-05-01 |
description |
A 64-year-old woman, never-smoker, was evaluated for shortness of breath and left leg swelling. An abnormal initial chest X-Ray lead to computed tomography (CT) scan of the chest. She was also diagnosed with deep vein thrombosis (DVT) of her left leg. CT of the chest with intravenous contrast showed a mass-like consolidation in the right upper lobe and thickening of the peripheral interlobular septa and of the bronchovascular bundles consistent with lymphangitic carcinomatosis (Figure 1). Endobronchial ultrasound (EBUS) guided transbronchial needle aspirations of the station 10 R Lymph node were positive for adenocarcinoma of lung origin. Lymphangitic carcinomatosis occurs when cancer cells spread along the pulmonary lymphatic system and result in thickening of the bronchovascular bundle, the interlobular septa, or both (1). Histopathologically, specimens show interlobular and subpleural interstitial desmoplastic thickening and obstruction of lymphatic vessels by tumor cells. It carries a poor prognosis. |
topic |
cancer lymphangitic spread carcinomatosis lung CT scan septal thickening deep venous thrombosis bronchovascular bundle |
url |
http://www.swjpcc.com/imaging/2017/5/24/medical-image-of-the-week-lymphangitic-carcinomatosis.html |
work_keys_str_mv |
AT dalabihmr medicalimageoftheweeklymphangiticcacinomatosis AT maloj medicalimageoftheweeklymphangiticcacinomatosis |
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