Ishibashi H, Ohta S, Hirose M, Matsunuma R, Tsuneizumi M, Nakagami K, Shibuya K, Tanio N, Nakajima N
Department of Thoracic Surgery, Shizuoka General Hospital, Shizuoka, Japan.
Kyobu Geka. 2006 Nov;59(12):1095-8.
A 63-year-old female, who had undergone a modified radical mastectomy for breast cancer at the age of 45, was suffered from trachyphonia due to left recurrent nerve paralysis at the age of 53. She presented left phrenic nerve paralysis and dysphagia at the age of 61. Computed tomography (CT) revealed mediastinal fibrosis, stenosis of esophagus and superior vena cava, and slight lymph nodes swelling. Video-assisted thoracoscopic mediastinal biopsy was performed and the mediastinal fibrosis was diagnosed as recurrence of breast cancer 17 years after the breast cancer operation. She underwent mediastinal radiation and chemotherapy for mediastinal recurrence and stenting for esophageal stenosis.
一名63岁女性，45岁时因乳腺癌接受了改良根治性乳房切除术，53岁时因左侧喉返神经麻痹出现声音嘶哑。61岁时出现左侧膈神经麻痹和吞咽困难。计算机断层扫描（CT）显示纵隔纤维化、食管和上腔静脉狭窄以及轻度淋巴结肿大。进行了电视辅助胸腔镜纵隔活检，纵隔纤维化被诊断为乳腺癌手术后17年的乳腺癌复发。她因纵隔复发接受了纵隔放疗和化疗，并因食管狭窄接受了支架置入术。
