Yoshida J, Ishimaru T, Ekimura M
Department of Respiratory Surgery, Shimonoseki City Hospital, Japan.
Nihon Kokyuki Gakkai Zasshi. 1999 Oct;37(10):851-3.
We describe a case of bronchocutaneous fistula that developed after surgery and radiotherapy for breast cancer. A 69-year-old woman presented with fever and the leakage, on expiration, of bubbles from a site on the left chest wall where a Halsted mastectomy and radiotherapy (60 Gy) had been performed 19 years earlier. Computed tomography and magnetic resonance imaging revealed a fistula bridging a bronchus and the skin. Repeated biopsies of the fistula failed to disclose any malignancy. The fistula closed after treatment with antibiotics, and has remained closed for 9 months, as disclosed by identical tomographic images. The paucity of literature describing the diagnostic imaging of bronchocutaneous fistula prompted this report.
我们描述了一例乳腺癌手术及放疗后发生支气管皮肤瘘的病例。一名69岁女性出现发热,呼气时左侧胸壁一处有气泡漏出,该部位19年前曾行霍尔斯特德乳房切除术及放疗(60 Gy)。计算机断层扫描和磁共振成像显示有一个瘘管连接支气管和皮肤。对瘘管反复活检未发现任何恶性病变。经抗生素治疗后瘘管闭合,相同的断层图像显示已闭合9个月。由于描述支气管皮肤瘘诊断性影像学的文献较少,故撰写本报告。