PIERRE R. BAND, M.D.; BRIAN C. LENTLE, M.D.; ROGER AMY, M.D.; RAUL C. URTASUN, M.D.; FRANK A. HERBERT, M.D.
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The occurrence of pulmonary lymphangitic carcinomatosis with normal chest roentgenogram is well documented (1). Although it is recorded that scintiscans with 131sodium iodide may detect radiologically occult metastases from thyroid carcinoma (2), the detection by 67gallium (Ga) scintiscanning of pulmonary lymphangitic carcinomatosis from breast cancer in a patient with normal radiograph is of note.
A 32-year-old white woman underwent a right radical mastectomy followed by radiation therapy to the right supraclavicular and parasternal areas for the treatment of a stage I adenocarcinoma of the breast. Seven years later, the patient developed a right pleural effusion showing malignant cells on cytology.
BAND PR, LENTLE BC, AMY R, et al. Radiologically Occult Pulmonary Lymphangitic Carcinomatosis Detected by 67Gallium-Citrate Scintiscan. Ann Intern Med. 1976;85:476–477. doi: https://doi.org/10.7326/0003-4819-85-4-476
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Published: Ann Intern Med. 1976;85(4):476-477.
Hematology/Oncology, Lung Cancer, Pulmonary/Critical Care.
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