Lymphangitis carcinomatosa from gallbladder cancer

Yoshihiro Kitahara; Daiki Taniyama; Kazuya Kuraoka; Akihisa Saito; Junichi Zaitsu; Kenichi Oga; Misato Senoo; Yusuke Araki; Atsushi Yamaguchi; Kikuo Nakano

doi:10.1016/j.rmcr.2022.101621

Lymphangitis carcinomatosa from gallbladder cancer

Respir Med Case Rep. 2022 Mar 11:37:101621. doi: 10.1016/j.rmcr.2022.101621. eCollection 2022.

Authors

Affiliations

¹ Department of Respiratory Medicine, National Hospital Organization Kure Medical Center and Chugoku Cancer Center, Hiroshima, Japan.
² Department of Diagnostic Pathology, National Hospital Organization Kure Medical Center and Chugoku Cancer Center, Hiroshima, Japan.
³ Department of Gastroenterology, National Hospital Organization Kure Medical Center and Chugoku Cancer Center, Hiroshima, Japan.

Abstract

A 61-year-old woman was admitted to our hospital with productive cough and fever. Computed tomography images revealed ground glass opacities in both lung fields, and a space-occupying lesion in the gallbladder. Transbronchial lung biopsy revealed a poorly differentiated adenocarcinoma with invasion of the lymph ducts; accordingly, a diagnosis of lymphangitis carcinomatosa was made. We could not administer chemotherapy due to poor performance status, and the patient died of respiratory failure 30 days after admission. Owing to pathological autopsy findings of poorly differentiated adenocarcinoma in the gallbladder, we diagnosed this as a rare case of gallbladder cancer presenting with lymphangitis carcinomatosa.

Keywords: Adenocarcinoma; Gallbladder cancer; Lymphangitis carcinomatosa.

Publication types

Case Reports