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

  • Authors:
    • Jie Wu
    • Liang Lv
    • Kunyan Zhou
    • Jirong Huo
  • View Affiliations

  • Published online on: February 29, 2016     https://doi.org/10.3892/ol.2016.4285
  • Pages: 2835-2838
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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.
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April-2016
Volume 11 Issue 4

Print ISSN: 1792-1074
Online ISSN:1792-1082

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Spandidos Publications style
Wu J, Lv L, Zhou K and Huo J: Chylothorax and lymphedema as the initial manifestations of gastric carcinoma: A case report and review of the literature. Oncol Lett 11: 2835-2838, 2016.
APA
Wu, J., Lv, L., Zhou, K., & Huo, J. (2016). Chylothorax and lymphedema as the initial manifestations of gastric carcinoma: A case report and review of the literature. Oncology Letters, 11, 2835-2838. https://doi.org/10.3892/ol.2016.4285
MLA
Wu, J., Lv, L., Zhou, K., Huo, J."Chylothorax and lymphedema as the initial manifestations of gastric carcinoma: A case report and review of the literature". Oncology Letters 11.4 (2016): 2835-2838.
Chicago
Wu, J., Lv, L., Zhou, K., Huo, J."Chylothorax and lymphedema as the initial manifestations of gastric carcinoma: A case report and review of the literature". Oncology Letters 11, no. 4 (2016): 2835-2838. https://doi.org/10.3892/ol.2016.4285