3 Cases of Pulmonary Lymphangitic Metastasis from the Stomach Cancer Complaining Dyspnea

Lee, Jong Jin; Kim, Sahng Seop; Ju, Bong Deok; Song, Mun Sik; Park, Mee Ja; Kim, Ju Ock; Kim, Sun Young

doi:1989.36.2.156

Tuberc Respir Dis > Volume 36(2); 1989 > Article

Case report

Tuberculosis and Respiratory Diseases 1989;36(2):156-163.
DOI: https://doi.org/10.4046/trd.1989.36.2.156 Published online June 1, 1989.

3 Cases of Pulmonary Lymphangitic Metastasis from the Stomach Cancer Complaining Dyspnea

Jong Jin Lee¹, Sahng Seop Kim¹, Bong Deok Ju¹, Mun Sik Song¹, Mee Ja Park², Ju Ock Kim³, Sun Young Kim³

¹Department of Internal Medicine, Dae jeon Eul ji Hosþital, Dae jeon, Korea
²Department of Pathology, Dae jeon Eul ji Hosþital, Dae jeon, Korea
³Department of Internal Medicine, College of Medicine, Chungnam Nalional University Hospital, Dae jeon, Korea

호흡곤란을 주소로 한 위암의 임파성 폐전이 3예

이종진¹, 김상섭¹, 주봉덕¹, 송문식¹, 박미자², 김주옥³, 김선영³

Abstract

The stomach cancer is the most common malignant tumor in men and second in women among Koreans, and most metastases to the lung parenchyma appear as solitary spherical masses or in a pattern of multiple nodules. Less commonly stomach cancer is spreaded to lung as lymphangitic metastasis, which is presented dyspnea or tachypnea. 3 patients were admitted to our hospital because of dyspnea, their chest PA showing interstitial lung disease. We then performed transbronchial lung biopsy, the result therefrom being metastatic adenocarcinoma. Therefore gastroscope was performed as a workup to look for primary site. We report 3 cases of pulmonary lymphatic metastasis which were correlated with endoscopic biopsy from stomach cancer pathologically, that were confirmed by transbronchial lung biopsy.