Lymphangitis carcinomatosis: A rare presentation in right sided colonic adenocarcinoma


Article PDF :

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Article type :

Case Report

Author :

Sangeeta Banik, Thanka Johnson*, Rajendran Shanmugasundaram, Shobana Ashok

Volume :

11

Issue :

1

Abstract :

Lymphangitis carcinomatosis is the malignant infiltration of lymphatic vessels because of the spread of cancer from a primary site. We present a case of a 40-year-old female with right upper abdominal pain for 2 months. Computed tomography revealed diffuse wall thickening of the colon, caecum, and terminal ileum with multiple enlarged lymph nodes. Biopsy of the ascending colon showed high grade dysplasia of colonic mucosa. Hence, proceeded with a right hemicolectomy. Histopathology showed moderately differentiated adenoma like adenocarcinoma with large areas of lymphangitis carcinomatosis like pattern.  

Keyword :

Colon, Adenocarcinoma, Lymphangitis carcinomatosis, Adenoma- like adenocarcinoma.