Pulmonary lymphangitic carcinomatosis from gallbladder cancer mimicking diffuse alveolar haemorrhage.
Hisao HigoNoriyuki SuzakiTakuya NagataTaro TogamiNobuya OharaMasaomi MarukawaPublished in: Respirology case reports (2020)
Diagnosis in cases with pulmonary lymphangitic carcinomatosis as a primary manifestation is difficult due to unawareness of the cancer. An 81-year-old man was admitted due to a one-week history of dyspnoea and haemoptysis. Chest computed tomography showed diffuse bilateral ground-grass opacity and partial consolidation. We suspected diffuse alveolar haemorrhage. High-dose methylprednisolone and cyclophosphamide did not improve his condition and he died from respiratory failure. Autopsy revealed pulmonary lymphangitic carcinomatosis of whole lungs and primary gallbladder cancer. We should consider pulmonary lymphangitic carcinomatosis in the differential diagnosis of patients with haemoptysis and diffuse lung opacity of unknown origin.
Keyphrases
- high dose
- papillary thyroid
- pulmonary hypertension
- computed tomography
- low grade
- squamous cell
- respiratory failure
- low dose
- magnetic resonance imaging
- positron emission tomography
- lymph node metastasis
- clinical trial
- intensive care unit
- mechanical ventilation
- randomized controlled trial
- stem cell transplantation
- case report
- young adults
- contrast enhanced