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Obstetrics & Gynecology 1983;61:760-763
© 1983 by The American College of Obstetricians and Gynecologists
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PULMONARY LYMPHANGITIC CARCINOMATOSIS FROM VAGINAL CARCINOMA PRESENTING AS CONGESTIVE HEART FAILURE

Kenneth P. Koenigs, MD, Donald R. Campbell, MD, Javier Magrina, MD and William E. Ruth, MD

From the University of Kansas Medical Center, the Departments of Internal Medicine and Gynecology and Obstetrics, Kansas City, Kansas

Abstract

An unusual presentation of metastatic vaginal carcinoma is reported. A patient with primary squamous cell carcinoma of the vagina presented with symptoms of acute congestive heart failure, and pulmonary lymphangitic spread of the squamous cell carcinoma was found. The use of a Swan- Ganz catheter and the possible efficacy of transbronchial biopsy are discussed.






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