Charalabopoulos K, Dalavaga Y, Stefanou D, Charalabopoulos A, Bablekos G, Constantopoulos S
Department of Physiology, Clinical Unit, Medical Faculty, University of Ioannina, Ioannina, Greece.
Int J Clin Pract. 2004 Jun;58(6):641-4. doi: 10.1111/j.1368-5031.2004.00039.x.
Breast cancer is the most common cancer in women. Lungs represent a common site of metastases in breast cancer cases. Lung parenchyma, pleura, lymphatics, regional lymph nodes as well as trachea with bronchi are sites of metastatic involvement of the lungs in patients suffering from breast cancer. Endobronchial metastasis, especially of the direct type, is a very rare metastatic pattern in this type of cancer. We describe a case of endobronchial metastasis in a 59 years old Caucasian woman who had had a radical mastectomy 2 years before her present admission because of breast cancer. She was admitted to Joannina University hospital complaining of non-productive cough. Chest X-rays showed atelectasis of the right upper pulmonary lobe. Flexible fiberoptic bronchoscopy findings, cytologic examination of the bronchial excretions as well as the histological examination of the excised during bronchoscopy tumour specimen, strongly suggested a breast adenocarcinoma. Hereby, review data from the literature is given in brief.
乳腺癌是女性中最常见的癌症。肺部是乳腺癌病例常见的转移部位。肺实质、胸膜、淋巴管、区域淋巴结以及气管和支气管是乳腺癌患者肺部转移累及的部位。支气管内转移,尤其是直接型支气管内转移,在这类癌症中是一种非常罕见的转移模式。我们描述了一例59岁白种女性支气管内转移的病例,该患者因乳腺癌在本次入院前2年接受了根治性乳房切除术。她因干咳入住约阿尼纳大学医院。胸部X光片显示右上肺叶肺不张。纤维支气管镜检查结果、支气管分泌物的细胞学检查以及支气管镜检查期间切除的肿瘤标本的组织学检查,强烈提示为乳腺腺癌。在此简要给出文献综述数据。