Clin Surg | Volume 2, Issue 1 | Case Report | Open Access

A Signet Ring Cell Gastric Carcinoma Case Diagnosed with Pulmonary Lymphangitic Carcinomatosis

Özlem Şengören Dikis*, Seyhan Dulger, Tekin Yildiz and Safak Atahan

Department of Pulmonary Diseases, Health Sciences University, Bursa Yuksek Ihtisas Education and Research Hospital, Bursa, Turkey

*Correspondance to: �zlem ?eng�ren Dikis 

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Background: Gastric carcinoma is one of the most common malignancies encountered in adulthood. It may present with various clinical symptoms and signs. It commonly spreads through haematogenous and lymphatic routes and rarely presents with pulmonary lymphangitic carcinomatosis.Case
Presentation: A forty three years old male patient applied with the symptoms of progressive dyspnea and cough. Although his radiological findings supported interstitial lung disease, there was no response to antibiotics and corticosteroid treatment. Transbroncial biopsy indicated pulmonary lymphangitic carcinomatosis originating from metastatic signet ring cell gastric adenocarcinoma.Discussion: Pulmonary lymphangitic carcinomatosis is a rare manifestation of metastatic gastric cancer. Cases usually present with various respiratory symptoms. The disease having a bad prognosis is usually diagnosed using transbroncial or open lung biopsy. By keeping lymphangitic carcinomatosis in mind, an underlying neoplasm should be suspected in patients having an interstitial pattern in chest x-ray but no response to treatment.


Pulmonary lymphangitic carcinomatosis; Transbronchial biopsy; Gastric adenocarcinoma


Dikis �?, Dulger S, Yildiz T, Atahan S. A Signet Ring Cell Gastric Carcinoma Case Diagnosed with Pulmonary Lymphangitic Carcinomatosis. Clin Surg. 2017; 2: 1676.

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