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乳腺癌不常见的副肿瘤综合征:小脑变性和 Lambert-Eaton 肌无力综合征的联合表现。

Unusual paraneoplastic syndromes of breast carcinoma: a combination of cerebellar degeneration and Lambert-Eaton Myasthenic Syndrome.

机构信息

Department of Surgery, Cork University Hospital, Wilton, Cork, Ireland.

出版信息

Ir J Med Sci. 2011 Jun;180(2):569-71. doi: 10.1007/s11845-008-0257-5. Epub 2008 Nov 13.

Abstract

INTRODUCTION

Paraneoplastic neurological disorders are rare complications of breast carcinoma. Lambert-Eaton Myasthenic Syndrome (LEMS) is most commonly associated with small cell lung cancer. However, a combination of LEMS and subacute cerebellar degeneration as paraneoplastic syndromes is extremely rare, and has never been described in association with breast cancer.

CASE

We report for the first time an unusual association of LEMS and paraneoplastic subacute cerebellar degeneration with breast carcinoma.

CONCLUSION

In patients with atypical LEMS, when there is no evidence of respiratory malignancy, breast cancer should be included in the differential diagnosis.

摘要

介绍

副肿瘤性神经系统疾病是乳腺癌罕见的并发症。Lambert-Eaton 肌无力综合征(LEMS)最常与小细胞肺癌相关。然而,LEMS 与亚急性小脑变性同时作为副肿瘤综合征极为罕见,且从未与乳腺癌相关报道。

病例

我们首次报道了 LEMS 和副肿瘤性亚急性小脑变性与乳腺癌同时发生的不常见情况。

结论

在出现不典型 LEMS 的患者中,当没有呼吸恶性肿瘤证据时,应将乳腺癌纳入鉴别诊断。

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