Gyorffy Janelle, Philbrick Samuel M, Bersabe Adrian R, Upton Richard J, Mathis Derek A, Peters Austin, Brown Alexander
Department of Internal Medicine, SAUSHEC, San Antonio, TX, USA.
Department of Hematology Oncology, SAUSHEC, San Antonio, TX, USA.
Case Rep Oncol Med. 2017;2017:2648296. doi: 10.1155/2017/2648296. Epub 2017 Jun 28.
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.
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。