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[Lymphangitis carcinomatosa].

A Tóth1, E Zombai, I Schneider

  • 1Univ. Hautklinik, Pécs.

Zeitschrift Fur Hautkrankheiten
|December 15, 1988
PubMed
Summary
This summary is machine-generated.

An 86-year-old man presented with arm swelling. Autopsy revealed anaplastic thyroid carcinoma with widespread metastases, explaining the unusual presentation of lymphangitis carcinomatosa.

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Area of Science:

  • Oncology
  • Pathology
  • Dermatology

Background:

  • Anaplastic thyroid carcinoma is a rare and aggressive endocrine malignancy.
  • Metastatic disease can present with diverse and sometimes atypical clinical manifestations.

Observation:

  • An 86-year-old male exhibited progressive swelling of the right upper arm.
  • Physical examination revealed hyperemic papules, vesicles, and telangiectasias on the affected arm.
  • Histopathological examination of the arm demonstrated lymphangitis carcinomatosa.

Findings:

  • Despite the absence of a primary tumor in the arm, lymphangitis carcinomatosa was diagnosed.
  • Multiple bone metastases were detected via isotope accumulation scans.
  • Autopsy confirmed anaplastic thyroid gland carcinoma as the primary source with extensive metastases.

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Implications:

  • This case highlights the importance of considering rare presentations of metastatic cancer.
  • Lymphangitis carcinomatosa can be an initial sign of occult anaplastic thyroid carcinoma.
  • Comprehensive autopsy is crucial for identifying primary tumors in cases with unusual metastatic patterns.