Chylothorax in gastric adenocarcinoma: A case report and systematic review of the English literature
Identifieur interne : 001C80 ( Pmc/Checkpoint ); précédent : 001C79; suivant : 001C81Chylothorax in gastric adenocarcinoma: A case report and systematic review of the English literature
Auteurs : Uma Devaraj ; Priya Ramachandran ; Marjorie Correa ; George A. D OuzaSource :
- Lung India : Official Organ of Indian Chest Society [ 0970-2113 ] ; 2014.
Abstract
Chylothorax is a rare complication of gastric adenocarcinoma and data on its identification, prevalence and outcomes are scant.
To enable identification of gastric carcinoma as a cause of chylothorax.
A case report and a systematic review were conducted of all reported cases of gastric adenocarcinoma with chylothorax as the presenting complaint in the English literature.
Chylothorax is a rare presenting complaint of gastric adenocarcinoma. There are only 18 case reports in the world literature, of which six are in English. Chylothorax occurred variably in gastric adenocarcinoma, either as a presenting feature or as a complication of therapy. Here, we analyze the index case and six patients in whom gastric carcinoma presented with chylothorax as the initial symptom. Respiratory features of cough and dyspnea preempted any abdominal complaint. Bilateral chylothorax (66%) with associated chylous ascites (50%) was common. Four of the six patients had skin lymphedema also as a prominent feature. The chylothoraces have been treated by therapeutic pleurocentesis, intercoastal tube drainage and restriction of oral intake. Gastric adenocarcinoma was associated with high mortality (50%) and morbidity.
Chylothorax can be the presenting feature of gastric adenocarcinoma. A thorough search for this life-threatening disease should be done before labeling the chylothorax as idiopathic.
Url:
DOI: 10.4103/0970-2113.125906
PubMed: 24669083
PubMed Central: 3960811
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Chylothorax in gastric adenocarcinoma: A case report and systematic review of the English literature</title><author><name sortKey="Devaraj, Uma" sort="Devaraj, Uma" uniqKey="Devaraj U" first="Uma" last="Devaraj">Uma Devaraj</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Ramachandran, Priya" sort="Ramachandran, Priya" uniqKey="Ramachandran P" first="Priya" last="Ramachandran">Priya Ramachandran</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Correa, Marjorie" sort="Correa, Marjorie" uniqKey="Correa M" first="Marjorie" last="Correa">Marjorie Correa</name><affiliation><nlm:aff id="aff2"><italic>Department of Pathology, St. John's Medical College and Hospital, Bangalore, Karnataka, India</italic></nlm:aff></affiliation></author><author><name sortKey="D Ouza, George A" sort="D Ouza, George A" uniqKey="D Ouza G" first="George A." last="D Ouza">George A. D Ouza</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24669083</idno><idno type="pmc">3960811</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3960811</idno><idno type="RBID">PMC:3960811</idno><idno type="doi">10.4103/0970-2113.125906</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">002342</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002342</idno><idno type="wicri:Area/Pmc/Curation">002341</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002341</idno><idno type="wicri:Area/Pmc/Checkpoint">001C80</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001C80</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Chylothorax in gastric adenocarcinoma: A case report and systematic review of the English literature</title><author><name sortKey="Devaraj, Uma" sort="Devaraj, Uma" uniqKey="Devaraj U" first="Uma" last="Devaraj">Uma Devaraj</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Ramachandran, Priya" sort="Ramachandran, Priya" uniqKey="Ramachandran P" first="Priya" last="Ramachandran">Priya Ramachandran</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Correa, Marjorie" sort="Correa, Marjorie" uniqKey="Correa M" first="Marjorie" last="Correa">Marjorie Correa</name><affiliation><nlm:aff id="aff2"><italic>Department of Pathology, St. John's Medical College and Hospital, Bangalore, Karnataka, India</italic></nlm:aff></affiliation></author><author><name sortKey="D Ouza, George A" sort="D Ouza, George A" uniqKey="D Ouza G" first="George A." last="D Ouza">George A. D Ouza</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author></analytic><series><title level="j">Lung India : Official Organ of Indian Chest Society</title><idno type="ISSN">0970-2113</idno><idno type="eISSN">0974-598X</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="st1"><title>Background:</title><p>Chylothorax is a rare complication of gastric adenocarcinoma and data on its identification, prevalence and outcomes are scant.</p></sec><sec id="st2"><title>Objectives:</title><p>To enable identification of gastric carcinoma as a cause of chylothorax.</p></sec><sec id="st3"><title>Methods:</title><p>A case report and a systematic review were conducted of all reported cases of gastric adenocarcinoma with chylothorax as the presenting complaint in the English literature.</p></sec><sec id="st4"><title>Results:</title><p>Chylothorax is a rare presenting complaint of gastric adenocarcinoma. There are only 18 case reports in the world literature, of which six are in English. Chylothorax occurred variably in gastric adenocarcinoma, either as a presenting feature or as a complication of therapy. Here, we analyze the index case and six patients in whom gastric carcinoma presented with chylothorax as the initial symptom. Respiratory features of cough and dyspnea preempted any abdominal complaint. Bilateral chylothorax (66%) with associated chylous ascites (50%) was common. Four of the six patients had skin lymphedema also as a prominent feature. The chylothoraces have been treated by therapeutic pleurocentesis, intercoastal tube drainage and restriction of oral intake. Gastric adenocarcinoma was associated with high mortality (50%) and morbidity.</p></sec><sec id="st5"><title>Conclusions:</title><p>Chylothorax can be the presenting feature of gastric adenocarcinoma. A thorough search for this life-threatening disease should be done before labeling the chylothorax as idiopathic.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Segal, R" uniqKey="Segal R">R Segal</name></author><author><name sortKey="Waron, M" uniqKey="Waron M">M Waron</name></author><author><name sortKey="Reif, R" uniqKey="Reif R">R Reif</name></author><author><name sortKey="Zecler, E" uniqKey="Zecler E">E Zecler</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bautz, Jb" uniqKey="Bautz J">JB Bautz</name></author><author><name sortKey="Delaney, Md" uniqKey="Delaney M">MD Delaney</name></author><author><name sortKey="Mostaghim, R" uniqKey="Mostaghim R">R Mostaghim</name></author><author><name sortKey="Lodato, Rf" uniqKey="Lodato R">RF Lodato</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Shibata, K" uniqKey="Shibata K">K 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Lung India</journal-id><journal-id journal-id-type="iso-abbrev">Lung India</journal-id><journal-id journal-id-type="publisher-id">LI</journal-id><journal-title-group><journal-title>Lung India : Official Organ of Indian Chest Society</journal-title></journal-title-group><issn pub-type="ppub">0970-2113</issn><issn pub-type="epub">0974-598X</issn><publisher><publisher-name>Medknow Publications & Media Pvt Ltd</publisher-name><publisher-loc>India</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">24669083</article-id><article-id pub-id-type="pmc">3960811</article-id><article-id pub-id-type="publisher-id">LI-31-47</article-id><article-id pub-id-type="doi">10.4103/0970-2113.125906</article-id><article-categories><subj-group subj-group-type="heading"><subject>Case Report with Systematic Review</subject></subj-group></article-categories><title-group><article-title>Chylothorax in gastric adenocarcinoma: A case report and systematic review of the English literature</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Devaraj</surname><given-names>Uma</given-names></name><xref ref-type="aff" rid="aff1"></xref><xref ref-type="corresp" rid="cor1"></xref></contrib><contrib contrib-type="author"><name><surname>Ramachandran</surname><given-names>Priya</given-names></name><xref ref-type="aff" rid="aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Correa</surname><given-names>Marjorie</given-names></name><xref ref-type="aff" rid="aff2">1</xref></contrib><contrib contrib-type="author"><name><surname>D’souza</surname><given-names>George A.</given-names></name><xref ref-type="aff" rid="aff1"></xref></contrib></contrib-group><aff id="aff1"><italic>Department of Chest Medicine, St. John's Medical College and Hospital, Bangalore, Karnataka, India</italic></aff><aff id="aff2"><label>1</label><italic>Department of Pathology, St. John's Medical College and Hospital, Bangalore, Karnataka, India</italic></aff><author-notes><corresp id="cor1"><bold>Address for correspondence:</bold> Dr. Uma Devaraj, Department of Chest Medicine, St. John's Medical College and Hospital, John Nagar, Sarjapur Road, Bangalore - 560 034, Karnataka, India. id-<email xlink:href="druma.devaraj@gmail.com">druma.devaraj@gmail.com</email></corresp></author-notes><pub-date pub-type="ppub"><season>Jan-Mar</season><year>2014</year></pub-date><volume>31</volume><issue>1</issue><fpage>47</fpage><lpage>52</lpage><permissions><copyright-statement>Copyright: © Lung India</copyright-statement><copyright-year>2014</copyright-year><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc-sa/3.0"><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><sec id="st1"><title>Background:</title><p>Chylothorax is a rare complication of gastric adenocarcinoma and data on its identification, prevalence and outcomes are scant.</p></sec><sec id="st2"><title>Objectives:</title><p>To enable identification of gastric carcinoma as a cause of chylothorax.</p></sec><sec id="st3"><title>Methods:</title><p>A case report and a systematic review were conducted of all reported cases of gastric adenocarcinoma with chylothorax as the presenting complaint in the English literature.</p></sec><sec id="st4"><title>Results:</title><p>Chylothorax is a rare presenting complaint of gastric adenocarcinoma. There are only 18 case reports in the world literature, of which six are in English. Chylothorax occurred variably in gastric adenocarcinoma, either as a presenting feature or as a complication of therapy. Here, we analyze the index case and six patients in whom gastric carcinoma presented with chylothorax as the initial symptom. Respiratory features of cough and dyspnea preempted any abdominal complaint. Bilateral chylothorax (66%) with associated chylous ascites (50%) was common. Four of the six patients had skin lymphedema also as a prominent feature. The chylothoraces have been treated by therapeutic pleurocentesis, intercoastal tube drainage and restriction of oral intake. Gastric adenocarcinoma was associated with high mortality (50%) and morbidity.</p></sec><sec id="st5"><title>Conclusions:</title><p>Chylothorax can be the presenting feature of gastric adenocarcinoma. A thorough search for this life-threatening disease should be done before labeling the chylothorax as idiopathic.</p></sec></abstract><kwd-group><title>KEY WORDS</title><kwd>Chylothorax</kwd><kwd>gastric adenocarcinoma</kwd><kwd>lymphedema</kwd></kwd-group></article-meta></front></pmc><affiliations><list></list><tree><noCountry><name sortKey="Correa, Marjorie" sort="Correa, Marjorie" uniqKey="Correa M" first="Marjorie" last="Correa">Marjorie Correa</name><name sortKey="D Ouza, George A" sort="D Ouza, George A" uniqKey="D Ouza G" first="George A." last="D Ouza">George A. D Ouza</name><name sortKey="Devaraj, Uma" sort="Devaraj, Uma" uniqKey="Devaraj U" first="Uma" last="Devaraj">Uma Devaraj</name><name sortKey="Ramachandran, Priya" sort="Ramachandran, Priya" uniqKey="Ramachandran P" first="Priya" last="Ramachandran">Priya Ramachandran</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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