Breast Center, Kin-Ikyo Chuo Hospital, 5-1-9-1 Higashinaebo, Higashi-ku, Sapporo, 007-8505, Japan.
Respiratory Center, Kin-Ikyo Chuo Hospital, 5-1-9-1 Higashinaebo, Higashi-ku, Sapporo, 007-8505, Japan.
Breast Cancer. 2020 Nov;27(6):1187-1190. doi: 10.1007/s12282-020-01122-y. Epub 2020 Jun 23.
Lung is the most common target organ for distant metastasis of phyllodes tumor (PT), where the metastatic tumors are mostly seen as nodules or masses. We report here a rare case in which pure ground-glass opacity (GGO) was observed on chest CT about 3 years after the initial treatment of breast PT. After the lung lobectomy, we histologically confirmed that it should be diagnosed as a metastasis of PT. GGO rarely shows on metastatic tumors, and no reports have been made on GGO thus far in connection with metastasis of PT. Thus, in case GGO was found on the CT of patients having a history of PT, we suggest to take possible distant-metastasis into consideration.
肺是叶状肿瘤(PT)远处转移的最常见靶器官,转移瘤多表现为结节或肿块。我们在此报告 1 例罕见病例,在乳腺叶状肿瘤初始治疗后约 3 年,胸部 CT 上观察到单纯磨玻璃密度(GGO)。行肺叶切除术后,我们组织学上证实为叶状肿瘤转移。转移瘤很少出现 GGO,目前尚无关于叶状肿瘤转移伴 GGO 的报道。因此,对于有叶状肿瘤病史的患者 CT 上出现 GGO,我们建议考虑可能的远处转移。