Duodenale Lymphangiosis carcinomatosa: ein seltener endoskopischer Befund

Author(s):  
Johanna List

ZusammenfassungWir berichten von einem 67-jährigen Mann mit einem seltenen endoskopischen Befund im Zwölffingerdarm. Im Rahmen der gastroskopischen Untersuchung zeigten sich Lymphangiektasien in der Duodenalschleimhaut. Die Histologie dieser Läsionen entsprach überraschenderweise einer Lymphangiosis carcinomatosa des Duodenums, die bisher nur in wenigen Fällen beschrieben wurde. Aufgrund der schlechten Prognose ist eine zügige Diagnosestellung sehr wichtig. Der Fall soll daher den Blick des Endoskopikers für diese seltene Diagnose schärfen.

2021 ◽  
Vol 07 (03) ◽  
pp. e158-e162
Author(s):  
Catalin Bogdan Satala ◽  
Ioan Jung ◽  
Tivadar Jr. Bara ◽  
Vlad Tudorache ◽  
Simona Gurzu

AbstractChylous ascites represents a relatively uncommon condition. In this paper, we present a case of chyloperitoneum associated with pancreatic ductal adenocarcinoma (PDAC) and a review of literature regarding chylous ascites. A 76-year-old male patient was admitted in emergency department with acute abdomen. A pancreatic cancer was suspected. Subtotal spleno-pancreatectomy, for a nodular mass infiltrating the mild and distal portion of the pancreas, was necessary. During surgical intervention in the peritoneal cavity, a moderate quantity of whitish and thick consistency fluid with milk-like appearance was observed to be accumulated. After examination of the fluid, chyloperitoneum was diagnosed. The histologic examination showed a PDAC, with multiple emboli in lymph vessels, with tumor cells with plasmacytoid morphology, diagnosed as lymphangiosis carcinomatosa. The patient died at 3 weeks after surgical intervention. In patients with pancreatic cancer and chylous ascites, suspicion of tumor-related blockage of the lymphatic flow should be suspected. Prognosis of PDAC should be evaluated not only based on the number of lymph node metastases, but also considering the number of lymph vessels with tumor emboli and the architecture of tumor cells. This is the first reported case of a PDAC with plasmacytoid morphology of lymphangiosis carcinomatosa.


2011 ◽  
Vol 33 (4) ◽  
pp. e50-e53 ◽  
Author(s):  
Karoline Claudius ◽  
Christian Ginzkey ◽  
Stefan Gattenlöhner ◽  
Justus Müller ◽  
Philipp Demmer ◽  
...  

1988 ◽  
Vol 38 (6) ◽  
pp. 751-758
Author(s):  
Tsuyoshi Itoh ◽  
Masaki Kanaoka ◽  
Akiko Obara ◽  
Mutsuhiro Furuta ◽  
Harumi Itoh

1996 ◽  
Vol 20 (4) ◽  
pp. 650-652 ◽  
Author(s):  
Hisashi Tada ◽  
Michio Morimoto ◽  
Toshihide Shima ◽  
Hirofumi Hirana ◽  
Yoshihiro Nakagawa ◽  
...  

2000 ◽  
Vol 53 (6) ◽  
pp. 370-374
Author(s):  
M. Umeki ◽  
S. Kurisu ◽  
T. Koyama ◽  
J. Takatsuka ◽  
A. Takahashi ◽  
...  

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