Esophageal Metastasis of Breast Cancer with Esophagobronchial Fistula —A Case Report—

YANAGAWA Takehiro, YOSHIDA Tetsuya, KIMURA Yutaka, WATANABE Ami, MONDEN Takushi, IMAOKA Shingi

doi:10.3919/jjsa.74.1832

Bibliographic Information

Other Title

食道気管支瘻を生じた乳癌食道転移の1例
症例食道気管支瘻を生じた乳癌食道転移の1例
ショウレイショクドウキカンシロウオショウジタニュウガンショクドウテンイノ 1レイ
Esophageal Metastasis of Breast Cancer with Esophagobronchial Fistula ^|^mdash;A Case Report^|^mdash;

Search this article

Abstract

A 76-year-old woman underwent mastectomy and axially lymph node dissection for primary right breast cancer in May 2003. Histological examination revealed invasive ductal carcinoma (papillotubular type), ER 71%, PgR 33%, HER2 (-), pT4bN1M0, and Stage IIIB. After adjuvant chemotherapy with CMF regimen and PMRT CT scan revealed mediastinal, cervical and abdominal lymph node metastases in May 2005. Hormone therapy (ANA→LET→TAM) was thus started. We found type 2 tumor at the level of the mid-esophagus in October 2010. Endoscopic biopsy revealed Group V, ER (+), HER2 (+), and so esophageal metastasis of breast cancer was diagnosed. Although chemotherapy (trastuzumab + docetaxel → trastuzumab + vinorelbine → FEC regimen) was carried out, she had had recurrent bouts of contracting pneumonia since August 2000. Esophagobronchial fistula had been formed at the esophageal metastasis, for that an esophageal covered stent was placed there. No pneumonia has occurred since 2 months after the stenting and she is doing well for 8 months by receiving trastuzumab + S-1 regimen.

Journal

Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)

Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 74 (7), 1832-1837, 2013

Japan Surgical Association

Keywords

Details 詳細情報について

Export