Thorac Cardiovasc Surg 2005; 53(2): 122-123
DOI: 10.1055/s-2004-830443
Short Communication

© Georg Thieme Verlag KG Stuttgart · New York

The Importance of Histology in the Evaluation of Pulmonary Transplantation: Carcinomatous Lymphangitis

F. Regueiro1 , P. Roche2 , M. V. Regueiro3 , R. Lozano1
  • 1Unit of Thoracic Surgery, Hospital Clínico Universitario, Zaragoza, Spain
  • 2Department of Respiratory Medicine, Hospital Clínico Universitario, Zaragoza, Spain
  • 3U. S. P. Hospital „Santa Teresa“, A Coruña, Spain
Further Information

Publication History

Received October 4, 2004

Publication Date:
23 March 2005 (online)

Abstract

Pulmonary carcinomatous lymphangitis is a form of neoplastic metastatic spread to the lungs, which represents a poor prognosis for the patient. The physician may be confronted by a differential diagnosis with diffuse pulmonary interstitial affections requiring specific treatment, including lung transplantation. We present the case of a patient, diagnosed with pulmonary interstitial disease with rapidly progressive worsening of lung function, who was considered for lung transplantation. Videothoracoscopic lung biopsy demonstrated the existence of carcinomatous lymphangitis, which completely changed the therapeutic direction.

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Francisco Regueiro Mira

Hospital Clínico Universitario

Avenida San Juan Bosco, 18

50009 Zaragoza

Spain

Email: pacoregueiro@corunamail.com