Diffuse Interstitial Infiltration of the Lung with Blood Tinged Sputum and Dyspnea

Joo, Sun Ki; Kim, Dong Soon

doi:1987.34.1.89

Tuberc Respir Dis > Volume 34(1); 1987 > Article

Tuberculosis and Respiratory Diseases 1987;34(1):89-91.
DOI: https://doi.org/10.4046/trd.1987.34.1.89 Published online March 1, 1987.

Diffuse Interstitial Infiltration of the Lung with Blood Tinged Sputum and Dyspnea

Sun Ki Joo, Dong Soon Kim

Department of Internal Medicine, Inje Medical Collage, Paik Hospital, Seoul, Korea

호흡곤란 및 혈담을 동반한 미만성 폐침윤

주순기, 김동순

Abstract

The lymphangitic carcinomatosis of the lung is characterized by the extensive infiltration of pulmonary lymphatics with metastatic carcinoma. It is a late and fatal manifestation of cancer. The diagnosis is seldom made antemortem. Authors have observed a case of histologically proven pulmonary hymphangitic carcinomatosis originated from the carcinoma of the stomach. A 33 years old man was admitted to the department of internal medicine, Seoul Paik Hospital because of coughing for 3 months. Auscultation of the chest revealed rales in both lower lung fields. Chest roentgenogram demonstrated bilateral interstitial infiltration most marked in both lower lung fields Transbronchial biopsies were obtained from the right middle lobe and revealed poorly differentiated adenocarcinoma in bronchial and peribronchiolar lymphatics. Gastrofiberscopy was subsequently performed for detecting primary tumors and demonstrated Borrmann type III stomach cancer in the proximal antrum. Microscopically, poorly differentiated adenocarcima of the stomach was seen in this lesion, He has neither symptoms nor signs referable to the primary site of the tumor. 1 month after discharged, he got worsened and died. A brief review of related articles was also made.