以喘鸣为首发表现的转移性乳腺癌经化疗治疗：一例报告
Stridor as the First Presentation of Metastatic Breast Cancer that Was Managed with Chemotherapy: a Case Report.
作者信息
Khater Ashraf, El-Badrawy Adel, Ebrahem Mohamed Awad
机构信息
1Department of Surgical Oncology, Faculty of Medicine, Oncology Center- Mansoura University (OCMU), Mansoura, Egypt.
2Radiology Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
出版信息
Indian J Surg Oncol. 2018 Sep;9(3):336-339. doi: 10.1007/s13193-018-0724-z. Epub 2018 Jan 25.
Supraclavicular nodal metastases of breast cancer are rare and occur in about 8% of newly diagnosed cases. It is rarely discussed in the literature that breast cancer was metastasizing to higher levels of the cervical nodes. We report a case of metastatic breast cancer to the deep cervical lymph nodes that caused stridor due to compression of the recurrent laryngeal nerve which was diagnosed by indirect laryngoscopy. After full investigations, urgent chemotherapy was started and it showed a dramatic response with disappearance of the lymph node after two cycles with resolution of the stridor. This report also highlights the association of other metastatic sites with this higher level of neck nodal metastases of breast cancer.
乳腺癌锁骨上淋巴结转移罕见，约占新诊断病例的8%。乳腺癌转移至颈淋巴结更高水平的情况在文献中很少被讨论。我们报告一例转移性乳腺癌侵犯颈深淋巴结，因喉返神经受压导致喘鸣，通过间接喉镜检查得以诊断。全面检查后，立即开始紧急化疗，两个周期后淋巴结消失，喘鸣缓解，化疗显示出显著疗效。本报告还强调了乳腺癌这种颈部更高水平淋巴结转移与其他转移部位的关联。
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