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乳腺癌切线放疗后出现意外的症状性肺炎：一例报告

Unexpected Symptomatic Pneumonitis Following Breast Tangent Radiation: A Case Report.

作者信息

Conway Jessica L, Long Karen, Ploquin Nicolas, Olivotto Ivo A

机构信息

Department of Oncology, Tom Baker Cancer Centre, Calgary.

Department of Medical Physics, Tom Baker Cancer Centre, Calgary.

出版信息

Cureus. 2015 Oct 22;7(10):e363. doi: 10.7759/cureus.363.

DOI:10.7759/cureus.363
PMID:26623218
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4659583/
Abstract

Symptomatic radiation pneumonitis (RP) following radiation therapy (RT) to the breast alone is very uncommon. We report a case of an 80-year-old female who presented with fatigue, exertional dyspnea, fever, and cough 11.5 weeks following adjuvant breast RT with tangent fields alone. Imaging was consistent with RP, and she responded to a tapering course of steroids.

摘要

仅对乳房进行放射治疗（RT）后出现症状性放射性肺炎（RP）的情况非常罕见。我们报告一例80岁女性病例，该患者在仅采用切线野进行辅助性乳房RT后11.5周出现疲劳、劳力性呼吸困难、发热和咳嗽。影像学检查结果与RP相符，她对逐渐减量的类固醇治疗有反应。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cf5/4659583/dd01fb3b2006/cureus-0007-000000000363-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cf5/4659583/fac1bc2281be/cureus-0007-000000000363-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cf5/4659583/26ec9fa58e1d/cureus-0007-000000000363-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cf5/4659583/086e881d5403/cureus-0007-000000000363-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cf5/4659583/dd01fb3b2006/cureus-0007-000000000363-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cf5/4659583/fac1bc2281be/cureus-0007-000000000363-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cf5/4659583/26ec9fa58e1d/cureus-0007-000000000363-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cf5/4659583/086e881d5403/cureus-0007-000000000363-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cf5/4659583/dd01fb3b2006/cureus-0007-000000000363-i04.jpg

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Pneumonitis and pulmonary fibrosis associated with breast cancer treatments.与乳腺癌治疗相关的肺炎和肺纤维化。
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Radiat Oncol. 2013 Mar 8;8:56. doi: 10.1186/1748-717X-8-56.
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Improved heart, lung and target dose with deep inspiration breath hold in a large clinical series of breast cancer patients.在一个大型的乳腺癌患者临床系列中，深吸气屏气可提高心脏、肺和靶区剂量。
Radiother Oncol. 2013 Jan;106(1):28-32. doi: 10.1016/j.radonc.2012.10.016. Epub 2012 Nov 28.
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