Lymphangitis carcinomatosa

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Lymphangitis carcinomatosa
Classification and external resources
DiseasesDB 7672

Lymphangitis carcinomatosa is inflammation of the lymph vessels (lymphangitis) caused by a malignancy. Breast, lung, stomach, pancreas, and prostate cancers are the most common tumors that result in lymphangitis. Lymphangistis carcinomatosa may be caused by the following malignancies as suggested by the mnemonic:"Certain Cancers Spread By Plugging The Lymphatics" C-Cervical cancer,Cancer-Colon cancer,Spread-stomach cancer,By-Breast cancer/Bronchiogenic carcinoma,Plugging-Pancreas,The-Thyroid,Lymphatics-Larynx. Lymphangitis carcinomatosa was first described by pathologist Gabriel Andral in 1829 in a patient with uterine cancer.Lymphangitis carcinomatosa may show the presence of Kerley B lines on chest xray

Lymphangitis carcinomatosis most often affects people 40–49 years of age.[1]

Pathology[edit]

In most cases, lymphangitis carcinomatosis is caused by the dissemination of a tumor with its cells along the lymphatics.[2] However, in about 20 percent of cases, the inflammation of the lymphatic tubules (lymphangitis) is caused by a tumor that blocks the drainage of the lymph duct. In the lung, this is often caused by a centrally located mass, near the hilum of the lung that blocks lymphatic drainage.

Prognosis[edit]

Previously, the finding of lymphangitis carcinomatosis meant about a six-month life expectancy.[2] However, improved treatment has improved survival in patients with lymphangitis carcinomatosis, with patients often surviving three or more years with treatment.[2]

History[edit]

Lymphangitis carcinomatosa was first described by pathologist Gabriel Andral in 1829 in a patient with uterine cancer.[3]

See also[edit]

References[edit]

  1. ^ Bruce DM, Heys SD, Eremin O (February 1996). "Lymphangitis carcinomatosa: a literature review.". J R Coll Surg Edinb. 41 (1): 7–13. PMID 8930034. 
  2. ^ a b c McKean, Sylvia; Jacobson, FL (2012). Principles and practice of hospital medicine: Chapter 108: Advanced Cardiothoracic Imaging. New York: McGraw-Hill. ISBN 9780071603898. 
  3. ^ Doyle L. (August 1989). "Gabriel Andral (1797–1876) and the first reports of lymphangitis carcinomatosa". J R Soc Med. 82 (8): 491–3. PMC 1292257Freely accessible. PMID 2674433.