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一个由转移性乳腺癌引起的扩散性气膜出血病例
Masayoshi Higashiguchi1, Setsuko Yoshioka2, Taishiro Mizukoshi1
1Department of Respiratory Medicine and Clinical Immunology, Suita Municipal Hospital, Japan.
Internal medicine (Tokyo, Japan)
|July 24, 2025
概括
转移性乳腺癌很少会导致扩散性气膜出血,导致肺部出血. 这种罕见的呈现,与瘤栓塞和激素受体变化有关,表明预后不佳.
科学领域:
- 在瘤学瘤学.
- 肺部医学 肺部医学
- 病理学 病理学 病理学
背景情况:
- 复发性乳腺癌带来了独特的诊断挑战.
- 激素治疗和化疗是乳腺癌的标准治疗方法.
- 扩散膜出血 (DAH) 是一种严重的肺部疾病.
研究的目的:
- 报告一种罕见的扩散膜出血 (DAH) 病例,该病例是转移性乳腺癌的次要病例.
- 突出DAH与瘤栓塞和激素受体状态转变的关联.
- 描述胸部计算机断层扫描 (CT) 的特征性成像发现.
主要方法:
- 一个68岁的女性患有血栓塞的案例介绍.
- 诊断评估包括支气管支气管洗 (BAL) 和组织病理学.
- 连续胸部计算机断层扫描 (CT) 成像.
- 对临床病史,治疗和瘤特征的审查.
主要成果:
- 患者呈现出由于扩散膜出血 (DAH) 的血栓塞.
- 在BAL液体中的恶性细胞证实了转移性乳腺癌是DAH的原因.
- 肺血管检测显示瘤栓塞,癌症转变为荷尔蒙受体阴性.
- 胸部CT显示从地面玻璃不透明度到多个结节的进展.
结论:
- 扩散膜出血 (DAH) 是转移性乳腺癌的一个罕见但关键的表现.
- 瘤栓塞和荷尔蒙受体负转化与这种罕见的转移有关.
- 这种呈现带来了不良的预后,需要迅速识别.
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