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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Se revisan los hallazgos anatomopatol&#243;gicos&#44; cl&#237;nicos&#44; radiogr&#225;ficos y sus posibles correlaciones en 29 casos de linfangitis carcinomatosa pulmonar diagnosticados por necropsia&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Los principales hallazgos anatomopatol&#243;gicos fueron&#58; linfangitis macrosc&#243;pica &#40;28 casos&#41;&#44; invasi&#243;n neopl&#225;sica de ganglios linf&#225;ticos biliares y mediast&#237;nicos &#40;21 casos&#41;&#44; n&#243;dulos tumorales diseminados bilateralmente &#40;14 casos&#41; y trombosis arteriales tumorales &#40;9 casos&#41;&#46; La asociaci&#243;n y distribuci&#243;n de estas lesiones fue distinta seg&#250;n la localizaci&#243;n del tumor primitivo&#44; sugiriendo la posibilidad de dos v&#237;as diferentes de llegada de las c&#233;lulas tumorales al sistema linf&#225;tico pulmonar&#46; S&#243;lo en 23 casos existieron manifestaciones cl&#237;nicas respiratorias&#46; Disnea&#44; tos y dolor tor&#225;cico fueron los s&#237;ntomas m&#225;s frecuentes&#46; El hallazgo radiogr&#225;fico m&#225;s sobresaliente y frecuente fue la existencia de un patr&#243;n lineal de tipo intersticial que predominaba en campos superiores y medios y que muy a menudo se acompa&#241;aba de derrame pleural de morfolog&#237;a y extensi&#243;n variables y de un n&#250;mero variable de micron&#243;dulos diseminados por ambos pulmones&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Las correlaciones entre estos hallazgos fueron buenas&#44; si exceptuamos las referentes a la valoraci&#243;n radiogr&#225;fica de las adenopat&#237;as&#46; Se discuten las posibles explicaciones de estos hechos y se comparan nuestros resultados con los de la literatura&#46;</p></span>"
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        "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">The pathological&#44; clinical and radiological findings in 29 cases of pulmonary carcinomatous lymphangitis&#44; diagnosed at autopsy&#44; and their possible correlations&#44; are analyzed&#46;</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The main pathological findings were&#58; Macroscopical lymphangitis &#40;28 cases&#41;&#44; hilar and mediastinal lymph node invasi&#243;n &#40;21 cases&#41;&#44; tumor nodes with bilateral disse-mination &#40;14 cases&#41; and tumoral arterial thrombosis &#40;9 cases&#41;&#46; The association and distribution of these lesions depended on the site of the primary tumor&#44; suggesting the possibility of two different pathways for the arrival of tumor cells to the pulmonary lymphatic system&#46; Only in 23 cases there clinical respiratory features&#46; Dyspnea&#44; cough and thoracic pain were the most common symptoms&#46; The most outstanding and common radiological finding was a lineal interstitial pattern predominating in mid and high radiological lung fields&#44; very often accompanied by pleural effusion &#40;varying in morphology and extent&#41; and a variable number of micronodules thoughout both lungs&#46;</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Correlation between these findings was good except for the case of radiological lymph node assessment&#46; Possible explanations for these facts are discussed&#44; and our are compared to those from literature&#46;</p></span>"
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Vol. 20. Issue 4.
Pages 147-155 (July - August 1984)
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Vol. 20. Issue 4.
Pages 147-155 (July - August 1984)
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Linfangitis carcinomatosa pulmonar. Correlaciones Clinico-morfologicas
Pulmonary carcinomatous lymphangitis. Clinical-morphological correlations
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F. Muñoz Lucena, D. Martinez Parra, F. Rodriguez Panadero, N. Peña Griñan, J. Lopez Mejias
Servicio de Neumología. C. S. Virgen del Roció. Sevilla
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Se revisan los hallazgos anatomopatológicos, clínicos, radiográficos y sus posibles correlaciones en 29 casos de linfangitis carcinomatosa pulmonar diagnosticados por necropsia.

Los principales hallazgos anatomopatológicos fueron: linfangitis macroscópica (28 casos), invasión neoplásica de ganglios linfáticos biliares y mediastínicos (21 casos), nódulos tumorales diseminados bilateralmente (14 casos) y trombosis arteriales tumorales (9 casos). La asociación y distribución de estas lesiones fue distinta según la localización del tumor primitivo, sugiriendo la posibilidad de dos vías diferentes de llegada de las células tumorales al sistema linfático pulmonar. Sólo en 23 casos existieron manifestaciones clínicas respiratorias. Disnea, tos y dolor torácico fueron los síntomas más frecuentes. El hallazgo radiográfico más sobresaliente y frecuente fue la existencia de un patrón lineal de tipo intersticial que predominaba en campos superiores y medios y que muy a menudo se acompañaba de derrame pleural de morfología y extensión variables y de un número variable de micronódulos diseminados por ambos pulmones.

Las correlaciones entre estos hallazgos fueron buenas, si exceptuamos las referentes a la valoración radiográfica de las adenopatías. Se discuten las posibles explicaciones de estos hechos y se comparan nuestros resultados con los de la literatura.

The pathological, clinical and radiological findings in 29 cases of pulmonary carcinomatous lymphangitis, diagnosed at autopsy, and their possible correlations, are analyzed.

The main pathological findings were: Macroscopical lymphangitis (28 cases), hilar and mediastinal lymph node invasión (21 cases), tumor nodes with bilateral disse-mination (14 cases) and tumoral arterial thrombosis (9 cases). The association and distribution of these lesions depended on the site of the primary tumor, suggesting the possibility of two different pathways for the arrival of tumor cells to the pulmonary lymphatic system. Only in 23 cases there clinical respiratory features. Dyspnea, cough and thoracic pain were the most common symptoms. The most outstanding and common radiological finding was a lineal interstitial pattern predominating in mid and high radiological lung fields, very often accompanied by pleural effusion (varying in morphology and extent) and a variable number of micronodules thoughout both lungs.

Correlation between these findings was good except for the case of radiological lymph node assessment. Possible explanations for these facts are discussed, and our are compared to those from literature.

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Copyright © 1984. Sociedad Española de Neumología y Cirugía Torácica
Archivos de Bronconeumología
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