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许圣威,陈玲玲.肺淋巴管癌病误诊病例报告1例并文献复习[J].中国医药科学,2022,(20):194-196        基金项目:
肺淋巴管癌病误诊病例报告1例并文献复习
Misdiagnosis of pulmonary lymphatic carcinomatosis: a case report and literature review
  
DOI:
中文关键词:  肺淋巴管癌病;胃癌;误诊;文献复习
英文关键词:Pulmonary lymphatic carcinomatosis; Gastric cancer; Misdiagnosis; Literature review
作者单位
许圣威,陈玲玲 厦门市海沧医院呼吸内科,福建厦门 361026 
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中文摘要:
      [摘要] 目的 提高临床医生对肺淋巴管癌病的认识及诊治经验。 方法 通过收集1例肺淋巴管癌病的诊断过程及文献复习,详细分析本病的临床特点、诊断、鉴别诊断、治疗方法及预后。 结果 肺淋巴管癌病多见于腺癌转移所致,本病例首发临床症状为干咳及进行性呼吸困难,缺乏消化道症状,几经周折后明确诊断为胃癌伴肺淋巴管癌病。 结论 肺淋巴管癌病是一种特殊形式的肺内转移癌,以转移性癌细胞在淋巴管内弥漫性生长,形成癌栓为特征;因其缺乏原发疾病临床症状,影像学亦缺乏特异性,极易误诊;本病一旦确诊,预后差;临床医生应该提高对本病的认识及早期诊治。
英文摘要:
      [Abstract] Objective To improve clinicians’ understanding and experience in diagnosis and treatment of pulmonary lymphatic carcinomatosis. Methods The clinical features, diagnosis, differential diagnosis, treatment and prognosis of pulmonary lymphatic carcinomatosis were analyzed in detail by collecting the diagnostic process of one case and literature review. Results Lymphatic carcinomatosis of the lung is usually caused by metastasis of adenocarcinoma. The first clinical symptoms of this case were dry cough, progressive dyspnea, and lack of gastrointestinal symptoms. After several times of difficulties, gastric cancer with lymphatic carcinomatosis of the lung was diagnosed. Conclusion Pulmonary lymphatic carcinomatosis is a special form of lung metastatic carcinoma, characterized by diffuse growth of metastatic cancer cells in lymphatic vessels and formation of tumor thrombus. Due to the lack of clinical symptoms of primary disease and the lack of specificity of imaging, it is easy to be misdiagnosed. Once diagnosed, the prognosis is poor. Clinicians should improve the understanding of this disease and early diagnosis and treatment.
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