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一例酷似肌炎的肌肉浸润性转移性乳腺癌罕见病例。

A Unique Case of Muscle-Invasive Metastatic Breast Cancer Mimicking Myositis.

作者信息

Gyorffy Janelle, Philbrick Samuel M, Bersabe Adrian R, Upton Richard J, Mathis Derek A, Peters Austin, Brown Alexander

机构信息

Department of Internal Medicine, SAUSHEC, San Antonio, TX, USA.

Department of Hematology Oncology, SAUSHEC, San Antonio, TX, USA.

出版信息

Case Rep Oncol Med. 2017;2017:2648296. doi: 10.1155/2017/2648296. Epub 2017 Jun 28.

DOI:10.1155/2017/2648296
PMID:28744384
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5506483/
Abstract

Breast cancer rarely metastasizes to the muscles, and it is even more unusual for this phenomenon to result in airway compromise. We present a unique case of an 84-year-old female who presented with neck swelling and upper airway obstruction due to metastatic breast cancer invading the sternocleidomastoid muscles. After establishing the diagnosis and discussing possible treatment options, the patient elected for antiestrogen therapy, palliative tracheostomy, radiation therapy, and hospice services.

摘要

乳腺癌很少转移至肌肉,而这种现象导致气道受压则更为罕见。我们报告一例独特病例,一名84岁女性因转移性乳腺癌侵犯胸锁乳突肌而出现颈部肿胀和上气道梗阻。在明确诊断并讨论了可能的治疗方案后,患者选择了抗雌激素治疗、姑息性气管切开术、放射治疗和临终关怀服务。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df45/5506483/c6ed7432beb5/CRIONM2017-2648296.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df45/5506483/071813c43db4/CRIONM2017-2648296.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df45/5506483/c6ed7432beb5/CRIONM2017-2648296.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df45/5506483/071813c43db4/CRIONM2017-2648296.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df45/5506483/c6ed7432beb5/CRIONM2017-2648296.002.jpg

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Oxf Med Case Reports. 2017 Feb 1;2017(2):omx002. doi: 10.1093/omcr/omx002. eCollection 2017 Feb.
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Paraneoplastic polymyositis presenting as a clinically occult breast cancer.副肿瘤性多肌炎表现为隐匿性乳腺癌。
Ann R Coll Surg Engl. 2017 Feb;99(2):e40-e43. doi: 10.1308/rcsann.2016.0301. Epub 2016 Sep 23.
3
Malignancy in dermatomyositis and polymyositis: analysis of 192 patients.
皮肌炎和多发性肌炎中的恶性肿瘤:192例患者的分析
Clin Rheumatol. 2016 Aug;35(8):1977-1984. doi: 10.1007/s10067-016-3296-8. Epub 2016 May 23.
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Central Airway Obstruction: Benign Strictures, Tracheobronchomalacia, and Malignancy-related Obstruction.中央气道阻塞:良性狭窄、气管支气管软化症和与恶性肿瘤相关的阻塞。
Chest. 2016 Aug;150(2):426-41. doi: 10.1016/j.chest.2016.02.001. Epub 2016 Feb 11.
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Invasive ductal breast cancer with extensive subcutaneous metastases in trunk: a case report.躯干广泛皮下转移的浸润性导管乳腺癌:一例报告
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