今日の臨床サポート

反回神経麻痺

関連論文:
img  5:  Diffuse Endobronchial Wall Spread of Metastatic Breast Cancer.
 
著者: Tomonobu Koizumi, Nobumitsu Kobayashi, Shintarou Kanda, Masanori Yasuo, Keishi Kubo, Kenichi Itou
雑誌名: Case Rep Oncol. 2009 May 9;2(2):77-83. doi: 10.1159/000215944. Epub 2009 May 9.
Abstract/Text We present here a case of diffuse tracheobronchial wall spread of metastatic breast cancer who was successfully treated with trastuzumab plus vinorelbine chemotherapy. The patient had a left radical mastectomy for breast cancer in March 2000 and developed persistent cough and dyspnea in November 2006. Pulmonary function test demonstrated an obstructive pattern. Chest computed tomography showed a wall thickening of trachea and right side bronchus, but radiographic findings including (18)F-fluorodeoxyglucose positron emission tomography failed to detect the locations of disease in the lung. The findings on bronchofiberscopy showed edematous tracheobronchial mucosa, but also failed to visually detect direct masses. Transbronchial biopsy specimens revealed involvement of metastatic breast cancer. The patient was treated with trastuzumab plus vinorelbine chemotherapy and the wall thickening of bronchial tree and clinical symptoms were improved. Although endobronchial metastasis in metastatic breast cancer is not uncommon, diffuse spread without forming intraluminal mass is extremely rare. The pattern of endobronchial metastasis should be considered in patients with malignancies even when radiographic abnormalities are undetectable.

PMID 20740167  Case Rep Oncol. 2009 May 9;2(2):77-83. doi: 10.1159/000215944. Epub 2009 May 9.
戻る

さらなるご利用にはご登録が必要です。

こちらよりご契約または優待日間無料トライアルお申込みをお願いします。

(※トライアルご登録は1名様につき、一度となります)


ご契約の場合はご招待された方だけのご優待特典があります。

以下の優待コードを入力いただくと、

契約期間が通常12ヵ月のところ、14ヵ月ご利用いただけます。

優待コード: (利用期限:まで)

ご契約はこちらから