tailieunhanh - Báo cáo khoa hoc:" Lymphangitis carcinomatosa as an unusual presentation of renal cell carcinoma: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Lymphangitis carcinomatosa as an unusual presentation of renal cell carcinoma: a case report | Journal of Medical Case Reports BioMed Central Case report Open Access Lymphangitis carcinomatosa as an unusual presentation of renal cell carcinoma a case report James E Kirk and Maruti Kumaran Address Queens Medical Centre Nottingham UK Email James E Kirk - jameskirk@ Maruti Kumaran - Corresponding author Published 24 January 2008 Received 2 October 2007 Journal of Medical Case Reports 2008 2 19 doi 1752-1947-2-19 Accepted 24 January 2008 This article is available from http content 2 1 19 2008 Kirk and Kumaran licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Renal cell carcinoma is a common adult malignancy that can present incidentally or with a multitude of clinical symptoms and signs. Metastatic spread is frequent occurring via haematogenous and lymphatic routes although it does not typically present with lymphangitis carcinomatosa. Case presentation We describe a patient who presented with cough and increasing dyspnoea. Initial chest x-ray and computed tomography were consistent with lymphangitis carcinomatosa that proved secondary to underlying renal cell carcinoma. Conclusion Lymphangitis carcinomatosa occurs with many different primary tumours and can rarely be the presenting feature of renal cell carcinoma. Underlying renal cell carcinoma should be considered in the differential diagnosis of lymphangitis carcinomatosa and excluded with subsequent investigations. Introduction Renal cell carcinoma is responsible for 3 of adult malignancies and is the sixth leading cause of cancer death. It is well recognised for its ability to present with atypical symptoms and signs. The classical presentation of loin .

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