Pulmonary lymphangitic carcinomatosis from gallbladder cancer mimicking diffuse alveolar haemorrhage

Hisao Higo, Noriyuki Suzaki, Takuya Nagata, Taro Togami, Nobuya Ohara, Masaomi Marukawa

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)

Abstract

Diagnosis in cases with pulmonary lymphangitic carcinomatosis as a primary manifestation is difficult due to unawareness of the cancer. An 81-year-old man was admitted due to a one-week history of dyspnoea and haemoptysis. Chest computed tomography showed diffuse bilateral ground-grass opacity and partial consolidation. We suspected diffuse alveolar haemorrhage. High-dose methylprednisolone and cyclophosphamide did not improve his condition and he died from respiratory failure. Autopsy revealed pulmonary lymphangitic carcinomatosis of whole lungs and primary gallbladder cancer. We should consider pulmonary lymphangitic carcinomatosis in the differential diagnosis of patients with haemoptysis and diffuse lung opacity of unknown origin.

Original languageEnglish
Article numbere00540
JournalRespirology Case Reports
Volume8
Issue number3
DOIs
Publication statusPublished - Apr 1 2020
Externally publishedYes

Keywords

  • Diffuse alveolar haemorrhage
  • gallbladder cancer
  • haemoptysis
  • pulmonary lymphangitic carcinomatosis

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

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