Chylothorax and lymphedema as the initial manifestations of gastric carcinoma: A case report and review of the literature.
Identifieur interne : 000877 ( PubMed/Curation ); précédent : 000876; suivant : 000878Chylothorax and lymphedema as the initial manifestations of gastric carcinoma: A case report and review of the literature.
Auteurs : Jie Wu [République populaire de Chine] ; Liang Lv [République populaire de Chine] ; Kunyan Zhou [République populaire de Chine] ; Jirong Huo [République populaire de Chine]Source :
- Oncology letters [ 1792-1074 ] ; 2016.
Abstract
Chylothorax is the accumulation of lymph fluid in the pleura. Gastric carcinoma with chylothorax and lymphedema as the initial manifestations has rarely been reported, with only 14 cases reported to date. The mechanisms of gastric carcinoma generating chylothorax have not yet been determined. The current study reports the case of a 63-year-old woman presenting with chylothorax and lower extremity lymphedema, and reviews the existing literature. A chest radiograph performed on the present patient revealed large pleural effusion and chylothorax was diagnosed. Upper gastrointestinal endoscopy identified an irregular apophysis lesion and a biopsy confirmed poorly differentiated gastric adenocarcinoma. The patient was discharged at her request, and subsequently succumbed to the disease 4.5 months later. Based on the findings of the present study, as well as those of the literature, we proposed a novel form of gastric carcinoma infiltrating the body. Chylothorax and lymphedema may be a consequence of gastric carcinoma cells infiltrating the lymphatic circulatory system; therefore, the differential diagnosis of chylothorax and lymphedema of unknown cause should consider gastric carcinoma, regardless of gastrointestinal symptoms.
DOI: 10.3892/ol.2016.4285
PubMed: 27073560
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China.</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Department of Gastroenterology, The Second Xiangya Hospital of Central South University, Changsha, Hunan 410011</wicri:regionArea></affiliation></author><author><name sortKey="Lv, Liang" sort="Lv, Liang" uniqKey="Lv L" first="Liang" last="Lv">Liang Lv</name><affiliation wicri:level="1"><nlm:affiliation>Department of Gastroenterology, The Second Xiangya Hospital of Central South University, Changsha, Hunan 410011, P.R. China.</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Department of Gastroenterology, The Second Xiangya Hospital of Central South University, Changsha, Hunan 410011</wicri:regionArea></affiliation></author><author><name sortKey="Zhou, Kunyan" sort="Zhou, Kunyan" uniqKey="Zhou K" first="Kunyan" last="Zhou">Kunyan Zhou</name><affiliation wicri:level="1"><nlm:affiliation>Department of Gastroduodenal Surgery, Hunan Cancer Hospital of Xiangya Medical School, Central South University, Changsha, Hunan 410013, P.R. China.</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Department of Gastroduodenal Surgery, Hunan Cancer Hospital of Xiangya Medical School, Central South University, Changsha, Hunan 410013</wicri:regionArea></affiliation></author><author><name sortKey="Huo, Jirong" sort="Huo, Jirong" uniqKey="Huo J" first="Jirong" last="Huo">Jirong Huo</name><affiliation wicri:level="1"><nlm:affiliation>Department of Gastroenterology, The Second Xiangya Hospital of Central South University, Changsha, Hunan 410011, P.R. China.</nlm:affiliation><country xml:lang="fr" wicri:curation="lc">République populaire de Chine</country><wicri:regionArea>Department of Gastroenterology, The Second Xiangya Hospital of Central South University, Changsha, Hunan 410011</wicri:regionArea></affiliation></author></analytic><series><title level="j">Oncology letters</title><idno type="ISSN">1792-1074</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Chylothorax is the accumulation of lymph fluid in the pleura. Gastric carcinoma with chylothorax and lymphedema as the initial manifestations has rarely been reported, with only 14 cases reported to date. The mechanisms of gastric carcinoma generating chylothorax have not yet been determined. The current study reports the case of a 63-year-old woman presenting with chylothorax and lower extremity lymphedema, and reviews the existing literature. A chest radiograph performed on the present patient revealed large pleural effusion and chylothorax was diagnosed. Upper gastrointestinal endoscopy identified an irregular apophysis lesion and a biopsy confirmed poorly differentiated gastric adenocarcinoma. The patient was discharged at her request, and subsequently succumbed to the disease 4.5 months later. Based on the findings of the present study, as well as those of the literature, we proposed a novel form of gastric carcinoma infiltrating the body. Chylothorax and lymphedema may be a consequence of gastric carcinoma cells infiltrating the lymphatic circulatory system; therefore, the differential diagnosis of chylothorax and lymphedema of unknown cause should consider gastric carcinoma, regardless of gastrointestinal symptoms.</div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">27073560</PMID><DateCreated><Year>2016</Year><Month>04</Month><Day>13</Day></DateCreated><DateRevised><Year>2017</Year><Month>02</Month><Day>20</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">1792-1074</ISSN><JournalIssue CitedMedium="Print"><Volume>11</Volume><Issue>4</Issue><PubDate><Year>2016</Year><Month>Apr</Month></PubDate></JournalIssue><Title>Oncology letters</Title><ISOAbbreviation>Oncol Lett</ISOAbbreviation></Journal><ArticleTitle>Chylothorax and lymphedema as the initial manifestations of gastric carcinoma: A case report and review of the literature.</ArticleTitle><Pagination><MedlinePgn>2835-2838</MedlinePgn></Pagination><Abstract><AbstractText>Chylothorax is the accumulation of lymph fluid in the pleura. Gastric carcinoma with chylothorax and lymphedema as the initial manifestations has rarely been reported, with only 14 cases reported to date. The mechanisms of gastric carcinoma generating chylothorax have not yet been determined. The current study reports the case of a 63-year-old woman presenting with chylothorax and lower extremity lymphedema, and reviews the existing literature. A chest radiograph performed on the present patient revealed large pleural effusion and chylothorax was diagnosed. Upper gastrointestinal endoscopy identified an irregular apophysis lesion and a biopsy confirmed poorly differentiated gastric adenocarcinoma. The patient was discharged at her request, and subsequently succumbed to the disease 4.5 months later. Based on the findings of the present study, as well as those of the literature, we proposed a novel form of gastric carcinoma infiltrating the body. Chylothorax and lymphedema may be a consequence of gastric carcinoma cells infiltrating the lymphatic circulatory system; therefore, the differential diagnosis of chylothorax and lymphedema of unknown cause should consider gastric carcinoma, regardless of gastrointestinal symptoms.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Wu</LastName><ForeName>Jie</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Gastroenterology, The Second Xiangya Hospital of Central South University, Changsha, Hunan 410011, P.R. China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lv</LastName><ForeName>Liang</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Department of Gastroenterology, The Second Xiangya Hospital of Central South University, Changsha, Hunan 410011, P.R. China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Zhou</LastName><ForeName>Kunyan</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Department of Gastroduodenal Surgery, Hunan Cancer Hospital of Xiangya Medical School, Central South University, Changsha, Hunan 410013, P.R. China.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Huo</LastName><ForeName>Jirong</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Gastroenterology, The Second Xiangya Hospital of Central South University, Changsha, Hunan 410011, P.R. China.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2016</Year><Month>02</Month><Day>29</Day></ArticleDate></Article><MedlineJournalInfo><Country>Greece</Country><MedlineTA>Oncol Lett</MedlineTA><NlmUniqueID>101531236</NlmUniqueID><ISSNLinking>1792-1074</ISSNLinking></MedlineJournalInfo><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Dtsch Arztebl Int. 2013 Nov 29;110(48):819-26</RefSource><PMID Version="1">24333368</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Am J Med. 2012 Feb;125(2):134-40</RefSource><PMID Version="1">22269614</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Nihon Shokakibyo Gakkai Zasshi. 2007 Sep;104(9):1359-64</RefSource><PMID Version="1">17827907</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>ScientificWorldJournal. 2007 Aug 17;7:1189-92</RefSource><PMID Version="1">17704851</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Nihon Kokyuki Gakkai Zasshi. 2009 Dec;47(12):1115-9</RefSource><PMID Version="1">20058689</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Nihon Kokyuki Gakkai Zasshi. 2001 May;39(5):343-6</RefSource><PMID Version="1">11510097</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Thorac Oncol. 2007 Mar;2(3):247-8</RefSource><PMID Version="1">17410049</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Br J Radiol. 1978 Jun;51(606):420-7</RefSource><PMID Version="1">656739</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Intern Med. 1998 Jun;37(6):538-41</RefSource><PMID Version="1">9678689</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Isr J Med Sci. 1986 Dec;22(12):897-9</RefSource><PMID Version="1">3570735</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Chest. 1991 Apr;99(4):1044-5</RefSource><PMID Version="1">1849065</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Clin Appl Thromb Hemost. 2008 Oct;14(4):476-80</RefSource><PMID Version="1">18263634</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Lung India. 2014 Jan;31(1):47-52</RefSource><PMID Version="1">24669083</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Nihon Kokyuki Gakkai Zasshi. 2004 May;42(5):415-8</RefSource><PMID Version="1">15168459</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Curr Opin Pulm Med. 2000 Jul;6(4):287-91</RefSource><PMID Version="1">10912634</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Surg Oncol Clin N Am. 2007 Jan;16(1):1-16</RefSource><PMID Version="1">17336233</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Rev Esp Enferm Dig. 1996 Dec;88(12):880-1</RefSource><PMID Version="1">9072060</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Eur Respir J. 1999 Jun;13(6):1489-91</RefSource><PMID Version="1">10445630</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Nihon Shokakibyo Gakkai Zasshi. 2013 Nov;110(11):1943-9</RefSource><PMID Version="1">24189823</PMID></CommentsCorrections></CommentsCorrectionsList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">chylothorax</Keyword><Keyword MajorTopicYN="N">gastric carcinoma</Keyword><Keyword MajorTopicYN="N">lymphedema</Keyword><Keyword MajorTopicYN="N">pleural effusion</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2015</Year><Month>01</Month><Day>14</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2015</Year><Month>09</Month><Day>04</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2016</Year><Month>4</Month><Day>14</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2016</Year><Month>4</Month><Day>14</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2016</Year><Month>4</Month><Day>14</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">27073560</ArticleId><ArticleId IdType="doi">10.3892/ol.2016.4285</ArticleId><ArticleId IdType="pii">OL-0-0-4285</ArticleId><ArticleId IdType="pmc">PMC4812189</ArticleId></ArticleIdList><pmc-dir>pmcsd</pmc-dir>
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