Eminowicz Gemma, Achilleos Katerina, Payne Simon, Davies John, Robinson Anne
Department of Clinical Oncology, Southend University Hospital NHS Trust, Prittlewell, Southend-on-sea, UK.
BMJ Case Rep. 2011 Mar 29;2011:bcr1120103506. doi: 10.1136/bcr.11.2010.3506.
This case describes a 55-year-old lady presenting with lethargy, migraines and a cardiac mass on a background history of breast cancer. She had been treated initially with a mastectomy, axillary node clearance, reconstruction and hormone manipulation followed by chemotherapy and high dose radiotherapy for an isolated supraclavicular metastases. She was disease free for 5 years when she complained of lethargy and migraines. A CT confirmed an isolated cardiac lesion, confirmed on echocardiogram A percutaneous atrial biopsy revealed an atrial metastases from breast carcinoma. She was treated with chemotherapy achieving a good response but was still deemed inoperable after treatment. She currently is receiving letrozole.
该病例描述了一位55岁女性，有乳腺癌病史，出现乏力、偏头痛和心脏肿物。她最初接受了乳房切除术、腋窝淋巴结清扫术、重建手术及激素治疗，随后针对孤立的锁骨上转移瘤进行了化疗和高剂量放疗。在无病生存5年后，她出现了乏力和偏头痛症状。CT检查证实存在孤立性心脏病变，超声心动图也予以确认。经皮心房活检显示为乳腺癌心房转移。她接受了化疗，反应良好，但治疗后仍被认为无法手术。她目前正在接受来曲唑治疗。
