Abstract
Metastatic gastric signet ring cell carcinoma presenting as interstitial lung disease
Margie Angelica M. Sigue M.D.,1 Daniel S. Tan M.D.,1 Roberto N. De Guzman, Jr. M.D.,1
Katrina DC. Luna, M.D.1, Renelene A. Macabeo, M.D.1
1 Resident-in-training, Internal Medicine Department, Our Lady of Lourdes Hospital
2 Pulmonologist, Internal Medicine Department, Our Lady of Lourdes Hospital
3 Gastroenterologist, Internal Medicine Department, Our Lady of Lourdes Hospital
4 Internist, Internal Medicine Department, Our Lady of Lourdes Hospital
5 Cardiologist, Internal Medicine Department, Our Lady of Lourdes Hospital
Clinical Presentation: We report on a case of a 61-year-old Filipino female with more than one-month history of dyspnea and recurrent pleural effusion with no reported gastrointestinal symptoms. High resolution CT scan was done and interstitial lung disease was considered. Pleural fluid culture and cytology was negative however, positive for metastatic malignancy on tissue biopsy. Abdominal CT scan showed a gastric wall mass and biopsy revealed signet ring cell carcinoma. Our case presented with primarily respiratory symptoms and consideration of interstitial lung disease on chest imaging. Incidental findings of gastric wall mass prompted further investigation. Concomitant findings of ILD and metastasis on imaging and biopsy may warrant investigation for primary malignancy in all patients presenting with interstitial lung disease.
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| JRRE Activities 2023-2024 |
Proposed Dates |
|---|---|
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July 21, 2023 (Friday), 1-5pm |
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