Refractory Chylothorax and Lymphedema Caused by Advanced Gastric Cancer

Chylothorax is the accumulation of lipid pleural effusion. Few reports have described chylothorax caused by gastric cancer. A 45-year-old woman presented with progressive lymphedema and bilateral chylothorax. Although repetitive thoracentesis was performed to relieve her dyspnea, swelling of her axi...

Descripción completa

Detalles Bibliográficos
Autores principales: Nagano, Naoko, Suzuki, Manabu, Tamura, Kentaro, Kobayashi, Sakurako, Kojima, Yasushi, Naka, Go, Iikura, Motoyasu, Izumi, Shinyu, Takeda, Yuichiro, Sugiyama, Haruhito
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6875443/
https://www.ncbi.nlm.nih.gov/pubmed/31292374
http://dx.doi.org/10.2169/internalmedicine.2351-18
Descripción
Sumario:Chylothorax is the accumulation of lipid pleural effusion. Few reports have described chylothorax caused by gastric cancer. A 45-year-old woman presented with progressive lymphedema and bilateral chylothorax. Although repetitive thoracentesis was performed to relieve her dyspnea, swelling of her axillary lymph nodes became significant. Positron emission tomography/computed tomography demonstrated the accumulation of (18)F-fluorodeoxyglucose in these nodes, and a lymph node biopsy showed signet ring cell carcinoma. The primary site was a 0-IIc type lesion in the gastric body that was only detected by upper gastrointestinal endoscopy. The patient was diagnosed with advanced gastric cancer 3.5 months after presentation for chylothorax.

Ejemplares similares