Abstract
Background
; Endobronchial metastasis (EBM) from extrapulmonary neoplasms is rare. Variable-sized nodules are typical radiologic features, whereas submucosal lymphangitic carcinoma is an uncommon involvement.
Case description and results:
We present a patient who had pancreatico-duodenectomy five months previously for Vater’s papilla cancer. She had respiratory symptoms with bilateral lung infiltrations and diffuse thickening of the interstitium, representing lymphangitic metastasis, radiologically. Bronchoscopic findings demonstrated submucosal spreading of the tumor. Histological studies resulted in diagnosis of metastatic adenocarcinoma of pancreatic origin.
Conclusion:
To our knowledge, this is the first case in the literature with endobronchial submucosal lymphangitic metastasis of Vater’s papilla cancer. This tumor may be considered in the differential diagnosis of endobronchial metastasis. Also, in light of this case report, patients with Vater’s papilla cancer should be evaluated for endobronchial metastasis if there are respiratory symptoms, for staging of the primary tumor.
Keywords: endobronchial metastasis, papilla of vater cancer
