Kotake Mie, Imai Hisao, Onozato Ryoichi, Fujita Atsushi, Fujisawa Tomomi, Nakazato Yoshimasa, Iijima Misa, Yanagita Yasuhiro, Hisada Takeshi, Minato Koichi
Division of Respiratory Medicine, Gunma Prefectural Cancer Center, Ota, Gunma 373-8550, Japan.
Division of Thoracic Surgery, Gunma Prefectural Cancer Center, Ota, Gunma 373-8550, Japan.
Mol Clin Oncol. 2020 Nov;13(5):53. doi: 10.3892/mco.2020.2123. Epub 2020 Aug 20.
Breast metastases of primary lung neuroendocrine tumors are rarely reported. The current report presents the case of a 41-year old female with no history of smoking who initially underwent surgery for a breast fibroadenoma, during which a neuroendocrine tumor of the right lung was detected via chest X-ray. The patient underwent surgery for the tumor and developed right breast nodules after adjuvant chemotherapy. Histological and immunohistochemical examinations of biopsies from these nodules indicated breast metastasis of the primary lung neuroendocrine tumor. The patient underwent mastectomy of the right breast but subsequently developed metastases in the left breast, for which local radiotherapy was administered. The observed metachronous bilateral breast metastases indicated that the contralateral breast should be considered during an investigation of metastasis.
原发性肺神经内分泌肿瘤的乳腺转移很少见报道。本报告介绍了一例41岁无吸烟史的女性病例,该患者最初因乳腺纤维瘤接受手术,术中通过胸部X光检查发现右肺神经内分泌肿瘤。患者接受了肿瘤手术,辅助化疗后出现右乳结节。对这些结节活检进行组织学和免疫组化检查表明为原发性肺神经内分泌肿瘤的乳腺转移。患者接受了右乳乳房切除术,但随后左乳出现转移,为此进行了局部放疗。观察到的异时性双侧乳腺转移表明,在转移调查中应考虑对侧乳房。