Page created on November 19, 2018. Last updated on January 17, 2019 at 16:34
On the surface of the visceral pleura can some greyish lines be seen. These lines have a web-like appearance.
Diagnosis: Lymphangitis carcinomatosa
Most common causes:
- Primary lung carcinoma
- Metastasis from breast carcinoma into the lung parenchyme
Lymphangitis carcinomatosa is a sterile (no pathogens involved) inflammation of the lymphatic vessels because the lymphatic vessel lumen is occluded by tumor cells inside. The infiltration of tumor cells into the vessels cause them to become cord-like, especially in the area above the carcinoma.
It’s important to note that lymphangitis carcinomatosa isn’t inside the lung parenchyme but inside the visceral pleura. The tumor itself is, of course, in the parenchyme.
Lymphangitis carcinomatosa can be seen anywhere in the body but most commonly happens in the lungs, where the origin of the tumor cells are most frequently a primary lung carcinoma or a metastasis from a breast carcinoma.
41. Pulmonary metastases
43. Aneurysma thrombotisatum ventriculi sinistri cordis