Mediastinal and retroperitoneal fibrosis as a manifestation of breast cancer metastasis: A case report and literature review.
Medicine (Baltimore)
; 97(32): e11842, 2018 Aug.
Article
en En
| MEDLINE
| ID: mdl-30095661
ABSTRACT
RATIONALE Mediastinal and retroperitoneal fibrosis as a manifestation of metastasis from malignancies is rare disease and particularly, cases of mediastinal fibrosis have been rarely reported. PATIENT CONCERNS A 60-year-old woman presented with dyspnea and bilateral flank pain. The patient had no previous history of malignancy. DIAGNOSES A contrast-enhanced chest computed tomography scan revealed a left breast mass and infiltrative soft tissue masses in the mediastinum and retroperitoneum, which showed high fluorodeoxyglucose uptake on positron emission tomography scan. The left breast mass was proven as a malignancy on biopsy and surgical excisional biopsy of the mediastinal mass revealed metastasis from the breast cancer on histopathologic examination. INTERVENTIONS:
Our patient was treated with palliative hormone therapy for the primary breast cancer and metastasis with mediastinal and retroperitoneal fibrosis.OUTCOMES:
Follow-up imaging studies showed improvement of the primary breast cancer and also metastasis. LESSONS We report this rare case to emphasize that mediastinal and retroperitoneal fibrosis can be a presentation of metastasis from various primary malignancies. We expect that appropriate diagnosis and treatment for metastatic mediastinal and retroperitoneal fibrosis can have a beneficial effect on disease course and prognosis of the patient.
Texto completo:
1
Colección:
01-internacional
Asunto principal:
Fibrosis Retroperitoneal
/
Neoplasias de la Mama
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Mediastino
Tipo de estudio:
Prognostic_studies
Límite:
Female
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Humans
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Middle aged
Idioma:
En
Revista:
Medicine (Baltimore)
Año:
2018
Tipo del documento:
Article