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Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
Published on: May 17, 2024
[Multiple bilateral pulmonary nodes following breast cancer]
S Diederich1, S Eidt, R Lüthen
1Institut für Diagnostische und Interventionelle Radiologie / Nuklearmedizin, Marien Hospital Düsseldorf. s.diederich@marien-hospital.de
History And Admission Findings:
Multiple new pulmonary nodules were demonstrated at chest radiography in a 69-year-old woman who had been treated for breast cancer ten years previously.
Investigations:
Laboratory tests suggested mild inflammation. Pulmonary function tests demonstrated small airways disease. But because of an atypical morphology at computed tomography (CT), metastases were considered unlikely. CT-guided percutaneous biopsy revealed cryptogenic organizing pneumonia (COP).
Treatment And Course:
Oral medication with decreasing doses of steroids resulted in clinical and radiological improvement.
Conclusions:
Even in a patient with known malignancy the differential diagnosis of multiple bilateral pulmonary nodules includes a variety of conditions and is meticulous, if necessary invasive diagnostic procedures are required.
