A Case of Recurrent Breast Cancer Presenting Carcinomatous Pleurisy Thirty-five Years After Mastectomy

DOI 6 Citations 15 References
  • Suzuki Eri
    Division of Pulmonary Medicine, Department of Medicine, Jichi Medical School, Japan
  • Ohno Shoji
    Division of Pulmonary Medicine, Department of Medicine, Jichi Medical School, Japan
  • Uki Kiyoko
    Division of Pulmonary Medicine, Department of Medicine, Jichi Medical School, Japan
  • Kato Tomoko
    Division of Pulmonary Medicine, Department of Medicine, Jichi Medical School, Japan
  • Sugiyama Yukihiko
    Division of Pulmonary Medicine, Department of Medicine, Jichi Medical School, Japan

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  • 乳癌術後35年目に癌性胸膜炎で再発した1例

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Background. Breast cancer is well known to have late metastasis after resection of the primary lesion. Case . A 78-year-old woman was referred to another hospital with fatigue, cough, right chest pain and shortness of breath on January 2001. Chest radiograph showed bilateral pleural effusion and thoracocentesis revealed carcinomatous pleurisy. She was admitted to our hospital for further evaluation and treatment on July 2002. She had undergone right radical mastectomy and radiation therapy under a diagnosis of breast cancer at the age of 43. A computed tomographic (CT) scan of the chest showed bilateral pleural effusion and multiple nodules on the parietal pleura but no pulmonary metastases. Thoracoscopy reveaied parietal pleural metastases. Fiberoptic bronchoscopy showed multiple endobronchial metastases. Cytologic examination of pleural effusion and biopsied specimens of pleural and endobronchial metastases showed poorly differentiationed adenocarcinoma. Cancer cells stained positively for estrogen receptor but not for thyroid transcription factor-1 immunohistochemically. So they were confirmed as metastatic tumors from breast cancer. Conclusiou. When metastatic lung cancer is suggested by carcinomatous pleurisy, the possibility of recurrent breast cancer should be considered even if mastectomy has been performed a long time previously. (JJSB. 2004;26:383-387)

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