Changal Khalid Hamid, Raina Hameed, Ahmed Parray Manzoor, Ahmad Sofi Fayaz
Department of Internal Medicine, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Kashmir, India.
Caspian J Intern Med. 2013 Fall;4(4):790-2.
Breast cancer is the most common type of malignancy in the female population, rarely is reported by thromboembolic events during the course of the disease. In this case, we present a rare case of breast cancer presenting as deep vein thrombosis of the axillary vein.
A 40-year- old female was admitted due to pain and swelling of her right arm and forearm of two months' duration. The right arm was grossly edematous with pitting edema. Breast examination showed non-tender fixed nodules in the right outer quadrant of the right breast. Doppler ultrasonography showed right axillary vein thrombosis. The pathologic examination of the nodules confirmed infiltrating ductal adenocarcinoma.
This case highlights the procoagulant state of malignancies and it is important to remember that though rare, breast malignancies can present as deep venous thrombosis. This case also highlights the early and aggressive evaluation of any breast discharge to rule out carcinoma of the breast.
乳腺癌是女性人群中最常见的恶性肿瘤类型，在疾病过程中很少有血栓栓塞事件的报道。在此病例中，我们呈现了一例罕见的以腋窝静脉深静脉血栓形成表现的乳腺癌病例。
一名40岁女性因右臂和前臂疼痛肿胀两个月入院。右臂明显水肿，有凹陷性水肿。乳房检查发现右乳房外上象限有非压痛性固定结节。多普勒超声显示右腋窝静脉血栓形成。结节的病理检查证实为浸润性导管腺癌。
该病例突出了恶性肿瘤的促凝状态，重要的是要记住，尽管罕见，但乳腺恶性肿瘤可表现为深静脉血栓形成。该病例还突出了对任何乳腺溢液进行早期积极评估以排除乳腺癌的重要性。
