A Case of Carcinomatous Pleuritis of Recurrent Breast Cancer 33 years After Initial Surgery Diagnosed by Thoracoscopy Under Local Anesthesia

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  • Itoh Ryo
    Department of Respiratory Medicine, Itabashi Chuo Medical Center
  • Tomoda Yoshitaka
    Department of General Medicine, Itabashi Chuo Medical Center
  • Miyajima Takashi
    Department of Respiratory Medicine, Itabashi Chuo Medical Center
  • Tanigawa Kousei
    Department of Respiratory Medicine, Itabashi Chuo Medical Center
  • Shikama Jun
    Department of Respiratory Medicine, Itabashi Chuo Medical Center
  • Takeuchi Chie
    Department of Respiratory Medicine, Itabashi Chuo Medical Center
  • Nagasawa Chinami
    Department of Respiratory Medicine, Itabashi Chuo Medical Center
  • Nakano Shigefumi
    Department of Respiratory Medicine, Itabashi Chuo Medical Center
  • Hanehira Takao
    Department of Respiratory Medicine, Itabashi Chuo Medical Center
  • Awaya Yukikazu
    Department of Respiratory Medicine, Itabashi Chuo Medical Center

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Other Title
  • 局所麻酔下胸腔鏡検査にて診断し得た乳癌術後33年目に再発した癌性胸膜炎の1例

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Abstract

<p>Background. We report a case of carcinomatous pleuritis as late recurrent breast cancer 33 years after initial surgery, diagnosed using thoracoscopy under local anesthesia. There are few cases of recurrent breast cancer occurring more than 30 years after surgery. Case. A 75-year-old woman was admitted to our hospital with progressive dyspnea on exertion. She had undergone mastectomy for right breast cancer 33 years before presentation. Chest CT showed bilateral pleural thickening and small amount of pleural effusion, but we could not obtain enough pleural fluid specimens for examination due to the thickened chest wall. We performed thoracoscopy under local anesthesia, and large white nodules were observed sporadically on the wall, visceral pleura and on the diaphragm. Histopathological examination revealed ductal and cribriform structures, and together with the results of immunostaining, a diagnosis of carcinomatous pleuritis as late recurrence of breast cancer was made. Conclusion. We report a case of carcinomatous pleuritis that recurred 33 years after breast cancer surgery, which was successfully diagnosed using thoracoscopy under local anesthesia.</p>

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