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Title
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Pulmonary lymphangitic carcinomatosis as a primary manifestation of gastric carcinoma in a young adult : a case report and review of the literature
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Author
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Abstract
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| Background Lymphangitic carcinomatosis as a manifestation of gastric carcinoma is rare. The presenting symptoms are misleading and nonspecific, often resulting in delayed diagnosis. Case presentation We present a case of a 24 year old male with progressive dyspnea. Initial radiologic assessment suggested interstitial lung disease, which was subsequently treated with antibiotics and corticosteroids. However, endoscopy and whole body diffusion-weighted magnetic resonance imaging revealed a metastatic gastric cancer with the presence of lymphangitic carcinomatosis. Conclusions Pulmonary lymphangitic carcinomatosis is a rare manifestation of metastatic gastric cancer. Patients present with severe but non-specific respiratory complaints. Definitive diagnosis can be achieved by transbronchial biopsy. Prognosis is poor and optimal treatment is not defined. Whole body diffusion-weighted magnetic resonance imaging is a promising imaging tool for the diagnosis of metastatic gastric cancer. |
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Language
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English
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Source (journal)
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BMC research notes
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Publication
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2012
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ISSN
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1756-0500
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DOI
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10.1186/1756-0500-5-638
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Volume/pages
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5
:1
(2012)
, p. 1-6
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Article Reference
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638
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Medium
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E-only publicatie
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Full text (Publisher's DOI)
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Full text (open access)
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