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Infiltrados pulmonares alveolares difusos: un reto diagnóstico para el clínico / No disponible
Lozano Rincón, E; Cabeza Osorio, L; Arroyo Gallego, M; Arnalich Jiménez, B; Casanova Espinosa, Á.
Affiliation
  • Lozano Rincón, E; Hospital Universitario del Henares. Madrid. España
  • Cabeza Osorio, L; Hospital Universitario del Henares. Madrid. España
  • Arroyo Gallego, M; Hospital Universitario del Henares. Madrid. España
  • Arnalich Jiménez, B; Hospital Universitario del Henares. Madrid. España
  • Casanova Espinosa, Á; Hospital Universitario del Henares. Madrid. España
Rev. patol. respir ; 18(2): 82-85, abr.-jun. 2015. ilus
Article in Spanish | IBECS | ID: ibc-141198
Responsible library: ES1.1
Localization: BNCS
RESUMEN
La presencia de infiltrados pulmonares bilaterales es un hallazgo radiológico frecuente en la práctica clínica habitual. En un varón de edad media no siempre es indicativo de infección y hay que considerar otras entidades diagnósticas (procesos no infecciosos). La sospecha de metástasis pulmonares debe incluirse dentro de estas entidades, aunque se trate de un diagnóstico clínico poco frecuente. La clínica es variable y depende del tumor primario, la edad del paciente, la situación cardiorrespiratoria del mismo y del mecanismo de diseminación tumoral. La linfangitis carcinomatosa es un patrón poco frecuente de metástasis pulmonares y el diagnóstico diferencial se realiza con procesos infecciosos (como neumonías atípicas) e inflamatorios (neumonía intersticial, neumonitis por hipersensibilidad o eosinofilias pulmonares). El paciente que se presenta debutó con clínica respiratoria e infiltrados pulmonares bilaterales y fue diagnosticado de linfangitis carcinomatosa, cuyo origen era un adenocarcinoma gástrico
ABSTRACT
The presence of bilateral pulmonary infiltrates is a frequent radiological finding in routine clinical practice. In a middle-aged man is not always indicative of infection and you need to consider other diagnostic entities (non-infectious processes). Suspected pulmonary metastases should be included in these entities, although it is a rare clinical diagnosis. The clinical course is variable and depends on the primary tumor, the patient’s age, cardiopulmonary status thereof and the mechanism of tumor dissemination . Carcinomatous lymphangitis is a rare radiographic pattern of pulmonary metastases and the differential diagnosis includes infectious processes (such as atypical pneumonia) and inflammatory diseases (interstitial pneumonia, hypersensitivity pneumonitis or pulmonary eosinophilia). We report the case of a man with respiratory symptoms and bilateral pulmonary infiltrates who was diagnosed of carcinomatous lymphangitis, whose origin was a gastric adenocarcinoma
Subject(s)
Full text: Available Collection: National databases / Spain Health context: Sustainable Health Agenda for the Americas / SDG3 - Health and Well-Being Health problem: Goal 9: Noncommunicable diseases and mental health / Target 3.4: Reduce premature mortality due to noncommunicable diseases Database: IBECS Main subject: Pulmonary Alveoli / Therapeutics / Infiltration-Percolation / Lymphangitis / Neoplasms Type of study: Diagnostic study Limits: Humans / Male Language: Spanish Journal: Rev. patol. respir Year: 2015 Document type: Article Institution/Affiliation country: Hospital Universitario del Henares/España
Full text: Available Collection: National databases / Spain Health context: Sustainable Health Agenda for the Americas / SDG3 - Health and Well-Being Health problem: Goal 9: Noncommunicable diseases and mental health / Target 3.4: Reduce premature mortality due to noncommunicable diseases Database: IBECS Main subject: Pulmonary Alveoli / Therapeutics / Infiltration-Percolation / Lymphangitis / Neoplasms Type of study: Diagnostic study Limits: Humans / Male Language: Spanish Journal: Rev. patol. respir Year: 2015 Document type: Article Institution/Affiliation country: Hospital Universitario del Henares/España
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