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DOI: 10.1055/s-2004-830443
© Georg Thieme Verlag KG Stuttgart · New York
The Importance of Histology in the Evaluation of Pulmonary Transplantation: Carcinomatous Lymphangitis
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.
Key words
Lung transplantation - lung cancer - video-assisted thoracic surgery
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Francisco Regueiro Mira
Hospital Clínico Universitario
Avenida San Juan Bosco, 18
50009 Zaragoza
Spain
Email: pacoregueiro@corunamail.com