Hirai T, Nishiuchi M, Ushio K, Koro T, Shinji Y, Taniguchi S
Dept. of Surgery, Hyogo Prefectural Nishinomiya Hospital.
Gan To Kagaku Ryoho. 1990 Apr;17(4 Pt 1):685-8.
Patients with metastatic breast carcinoma often present symptomatic pleural effusions. A 67-years-old woman, who had undergone right radical mastectomy 7 years previously for right breast carcinoma, developed massive right pleural effusion. Thoracoscopy revealed local metastasis in the center of the parietal mediastinal pleura. On biopsy, it was found to be adenocarcinoma which was considered to have invaded the pleura directly from the mediastinum. She was treated with linac X-ray irradiation focused on the pleural metastasis and systemic chemotherapy (CMF), and resulted in a gradual decrease and final disappearance of the pleural effusion.
转移性乳腺癌患者常出现有症状的胸腔积液。一名67岁女性，7年前因右乳腺癌接受了右乳根治性乳房切除术，现出现大量右侧胸腔积液。胸腔镜检查发现纵隔胸膜壁层中央有局部转移。活检发现为腺癌，考虑是直接从纵隔侵犯至胸膜。她接受了针对胸膜转移灶的直线加速器X线照射及全身化疗（CMF方案），胸腔积液逐渐减少并最终消失。
