Introduction. Lymphangitis carcinomatosa describes a condition of diffuse infiltration of the lymphatics of both the lungs by malignant cells. Pulmonary lymphangitic carcinomatosis (PLC) is a metastatic lung disease characterised by the diffuse infiltration and obstruction of the pulmonary parenchymal. The malignant pulmonary embolization syndromes, pulmonary tumor emboli and lymphangitic carcinomatosis, are associated with a poor.

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Some patients experience dyspnoea and abnormal pulmonary function tests early in the course of the disease, well before any radiographic abnormalities are evident, whereas others remain asymptomatic until much later 4.

Lymphangitis Carcinomatosa: Report of a Case and Review of Literature

The combination may give a characteristic ” dot in box ” appearance. Cases and figures Imaging differential diagnosis. There was no ascites, jaundice, palpable cervical nodes or pelvic deposits. Edit article Share article View revision history. Loading Stack – 0 images remaining.

Lymphangitis Carcinomatosa: Report of a Case and Review of Literature

Retrieved from ” https: Read it at Google Books – Find it at Amazon. Distribution of changes is variable, but most are asymmetric and patchy 3.


Articles Cases Courses Quiz. Spread into the lymphatics in most cases except in bronchogenic adenocarcinoma usually occurs following haematogenous seeding of the lungs, with subsequent lymphatic involvement 1,3.

Radiological appearances of lymphangitis carcinomatsa of the lung. All these features suggested pulmonary lymphangitis carcinomatosa of gastric origin Fig. Mist therapy reconsidered, an evaluation of the respiratory deposition of labeled water aerosols produced by jet and ultrasonic nebulizer.

Lymphangitis carcinomatosa is a rare clinico-pathological entity. Author information Article notes Copyright and License information Disclaimer. None, Conflict of Interest: It should be included in the differential diagnosis of patients with acute progressive respiratory failure and carcinomatoas, not responding to conventional medication. Pathology of the lung, 3 d ed. Support Radiopaedia and see fewer ads.

How to cite this URL: She had to be intubated and supported with mechanical ventilation due to progressive respiratory failure. Both the peripheral lymphatics lymphangiits in the interlobular septa and beneath the pleura, and the central lymphatics coursing in the bronchovascular interstitium are involved 2.


The sputum examination did not reveal acid fast bacilli. J R Soc Med. Lymphangitis carcinomatosa may be caused by the following malignancies as suggested by the mnemonic: Unable to process the form. Lymphangitis carcinomatosis of the lungs. J Carcinomatoxa Ass Rad ; Indian J Surg Oncol.

It may be the only manifestation of an occult malignancy and should be included in the differential diagnosis of dyspnoea, especially in young patients in whom this diagnosis is usually not suspected. J R Coll Surg Edinb. Lymphangitis carcinomatosa may precede or obscure or dominate any local symptoms and present as a diagnostic problem in dyspnoea. This results in a prominent definition of the secondary caarcinomatosa lobules, manifesting as tessellating polygons.

However steroid administration may produce symptomatic improvement mainly by alleviating breathlessness [ 1 ].

It requires a high index of suspicion for diagnosis. Published online Mar 5. The clinical significance of its roentgenologic classification.