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...

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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
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author Nagano, Naoko
Suzuki, Manabu
Tamura, Kentaro
Kobayashi, Sakurako
Kojima, Yasushi
Naka, Go
Iikura, Motoyasu
Izumi, Shinyu
Takeda, Yuichiro
Sugiyama, Haruhito
author_facet Nagano, Naoko
Suzuki, Manabu
Tamura, Kentaro
Kobayashi, Sakurako
Kojima, Yasushi
Naka, Go
Iikura, Motoyasu
Izumi, Shinyu
Takeda, Yuichiro
Sugiyama, Haruhito
author_sort Nagano, Naoko
collection PubMed
description 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.
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spelling pubmed-68754432019-11-25 Refractory Chylothorax and Lymphedema Caused by Advanced Gastric Cancer Nagano, Naoko Suzuki, Manabu Tamura, Kentaro Kobayashi, Sakurako Kojima, Yasushi Naka, Go Iikura, Motoyasu Izumi, Shinyu Takeda, Yuichiro Sugiyama, Haruhito Intern Med Case Report 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. The Japanese Society of Internal Medicine 2019-07-10 2019-11-01 /pmc/articles/PMC6875443/ /pubmed/31292374 http://dx.doi.org/10.2169/internalmedicine.2351-18 Text en Copyright © 2019 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Nagano, Naoko
Suzuki, Manabu
Tamura, Kentaro
Kobayashi, Sakurako
Kojima, Yasushi
Naka, Go
Iikura, Motoyasu
Izumi, Shinyu
Takeda, Yuichiro
Sugiyama, Haruhito
Refractory Chylothorax and Lymphedema Caused by Advanced Gastric Cancer
title Refractory Chylothorax and Lymphedema Caused by Advanced Gastric Cancer
title_full Refractory Chylothorax and Lymphedema Caused by Advanced Gastric Cancer
title_fullStr Refractory Chylothorax and Lymphedema Caused by Advanced Gastric Cancer
title_full_unstemmed Refractory Chylothorax and Lymphedema Caused by Advanced Gastric Cancer
title_short Refractory Chylothorax and Lymphedema Caused by Advanced Gastric Cancer
title_sort refractory chylothorax and lymphedema caused by advanced gastric cancer
topic Case Report
url 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
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