López-Martínez R A, Stock J A, Gump F E, Rosen J S
Department of Surgery, University of Medicine and Dentistry of New Jersey, New Jersey Medical School, Newark, USA.
Am Surg. 1996 Sep;62(9):748-52.
Urinary tract infection in the female patient is not an uncommon finding. Flank pain associated with urinary tract infection is usually due to calculus disease or pyelonephritis. In patients with history of breast carcinoma, metastasis to the periureteral area with resulting obstruction should be considered. The incidence of metastatic breast carcinoma presenting in this fashion is as high as 7.8 per cent. This case shows a patient with metastatic lobular carcinoma of the breast with ureteral obstruction, causing flank pain and recurrent urinary tract infection. This report emphasizes the importance of long-term follow-up in patients with history of breast cancer, especially invasive lobular carcinoma, and the high degree of suspicion required to diagnose and institute proper therapy.
女性患者发生尿路感染并非罕见。与尿路感染相关的胁腹疼痛通常由结石病或肾盂肾炎引起。对于有乳腺癌病史的患者，应考虑乳腺癌转移至输尿管周围区域并导致梗阻。以这种方式出现的转移性乳腺癌的发生率高达7.8%。本病例展示了一名患有乳腺小叶癌伴输尿管梗阻的患者，导致胁腹疼痛和反复尿路感染。本报告强调了对有乳腺癌病史的患者，尤其是浸润性小叶癌患者进行长期随访的重要性，以及诊断和采取适当治疗所需的高度怀疑。
