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浸润性导管癌导致左腋静脉肿瘤血栓形成，引起上腔静脉梗阻。

Tumour thrombosis of the left axillary vein due to infiltrative ductal carcinoma causing superior vena cava obstruction.

作者信息

Sood Anshul, Mishra Gaurav, Khandelwal Shreya, Bhoyar Mithun, Manuja Nishtha

机构信息

Department of Radiodiagnosis, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Sawangi (Meghe), Wardha, Maharashtra, India.

Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Sawangi (Meghe), Wardha, Maharashtra, India.

出版信息

Radiol Case Rep. 2024 Jul 20;19(10):4195-4200. doi: 10.1016/j.radcr.2024.06.051. eCollection 2024 Oct.

DOI:10.1016/j.radcr.2024.06.051
PMID:39101021
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11295285/
Abstract

Invasive ductal carcinoma is the most common type of breast cancer and can affect any age group, predominantly females older than 55 years of age. We present a case of a female in her mid-30s complaining of a fungating mass in the upper outer quadrant of the left anterior chest wall. On workup of the patient, it was histopathologically found that the patient was affected by infiltrating ductal carcinoma of the left breast, which was causing tumoral thrombosis of the left axillary vein. Also, thrombosis of the right axillary vein, bilateral brachiocephalic veins, and superior vena cava with a focal hepatic hotspot sign were appreciated on contrast-enhanced computed tomography scan. No such case of tumoral thrombosis of the axillary vein causing superior vena cava obstruction has been reported in recent literature.

摘要

浸润性导管癌是最常见的乳腺癌类型，可影响任何年龄组，主要是55岁以上的女性。我们报告一例35岁左右的女性，她主诉左前胸壁外上象限有一个溃疡性肿块。对该患者进行检查时，经组织病理学发现，患者患有左乳腺浸润性导管癌，导致左腋静脉肿瘤性血栓形成。此外，在对比增强计算机断层扫描中还发现右腋静脉、双侧头臂静脉和上腔静脉血栓形成，并伴有局灶性肝脏热点征。近期文献中尚未报道过腋静脉肿瘤性血栓形成导致上腔静脉梗阻的此类病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/746a/11295285/2cf8d548311c/gr9.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/746a/11295285/2cf8d548311c/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/746a/11295285/1ce0dbdd2baa/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/746a/11295285/8196a447ba0e/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/746a/11295285/6c08dace396a/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/746a/11295285/152306ed42c4/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/746a/11295285/c1ab701c2261/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/746a/11295285/0dd03d6bb2bf/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/746a/11295285/a70792a46039/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/746a/11295285/711597cb9dce/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/746a/11295285/2cf8d548311c/gr9.jpg

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本文引用的文献

1
Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries.全球癌症统计数据 2018：GLOBOCAN 对全球 185 个国家/地区 36 种癌症的发病率和死亡率的估计。
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Tumor thrombus: incidence, imaging, prognosis and treatment.肿瘤血栓：发病率、影像学、预后及治疗
Cardiovasc Diagn Ther. 2017 Dec;7(Suppl 3):S165-S177. doi: 10.21037/cdt.2017.09.16.
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Superior vena cava obstruction presenting as acute allergy.
表现为急性过敏的上腔静脉梗阻
Clin Exp Dermatol. 2013 Dec;38(8):955-6. doi: 10.1111/ced.12134. Epub 2013 Apr 20.
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The focal hepatic hot spot sign.肝脏局灶性热点征
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Focal hepatic "hot spot" in superior vena cava obstruction: correlation between radiocolloid hepatic SPECT and contrast-enhanced CT.
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