Chylothorax and lymphedema as the initial manifestations of gastric carcinoma: A case report and review of the literature.

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.

journal_name

Oncol Lett

journal_title

Oncology letters

authors

Wu J,Lv L,Zhou K,Huo J

doi

10.3892/ol.2016.4285

subject

Has Abstract

pub_date

2016-04-01 00:00:00

pages

2835-2838

issue

4

eissn

1792-1074

issn

1792-1082

pii

OL-0-0-4285

journal_volume

11

pub_type

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