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Late distant recurrence of breast carcinoma and metastasis to the main bronchus and choroid: A case report.

Abstract Metastases of breast carcinoma to the main bronchus and choroid are rare, but have been reported in relevant literature. Late distant recurrence of breast carcinoma after more than 20 years is extremely rare. Herein, we report a 57-year-old woman with late distant recurrence and metastasis to the main bronchus and choroid almost 28 years after surgery.
PMID
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Authors

Mayor MeshTerms

Breast Neoplasms

Bronchial Neoplasms

Choroid Neoplasms

Long Term Adverse Effects

Keywords
Journal Title medicine
Publication Year Start




PMID- 29768356
OWN - NLM
STAT- MEDLINE
DCOM- 20180522
LR  - 20180522
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 97
IP  - 20
DP  - 2018 May
TI  - Late distant recurrence of breast carcinoma and metastasis to the main bronchus
      and choroid: A case report.
PG  - e10754
LID - 10.1097/MD.0000000000010754 [doi]
AB  - RATIONALE: Metastases of breast carcinoma to the main bronchus and choroid are
      rare, but have been reported in relevant literature. Late distant recurrence of
      breast carcinoma after more than 20 years is extremely rare. Herein, we report a 
      57-year-old woman with late distant recurrence and metastasis to the main
      bronchus and choroid almost 28 years after surgery. PATIENT CONCERNS: At the age 
      of 29, the patient underwent chemotherapy and endocrine treatment after a right
      side mastectomy to remove breast carcinoma. The patient was hospitalized for a
      cough with blood-tinged sputum, dysphagia, and blurred vision in the left eye at 
      the age of 57. DIAGNOSES: On evaluation, laboratory findings detected the
      elevated serum tumor markers of CA12-5, CA15-3, NSE, and Cyfra21-1. The imaging
      showed left lung metastase, multiple lymph node metastases, and small suspected
      metastases in the both sides of parietal lobes. Fundus fluorescein angiography
      showed choroidal occupying lesion of the left side which indicates secondary
      metastasis and retinal detachment. Combined with the pathological finding via
      fiberoptic bronchoscopic biopsy, the patient was clinically diagnosed with a late
      distant recurrence of breast carcinoma. INTERVENTIONS: The patient received oral 
      endocrine therapy of letrozole, but she refused chemotherapy, radiotherapy and
      other topical treatments. OUTCOMES: At the 3-month follow-up visit, the multiple 
      lesions of the left lung and lymph nodes had partially regressed, and the lesion 
      of right parietal lobe had disappeared. The patient's clinical symptoms, such as 
      blood-tinged sputum and dysphagia, had significantly improved. LESSONS: We have
      described this case and reviewed the relevant literature concerning late distant 
      recurrence of breast carcinoma. Importantly, this case indicates that patients
      with HR positive breast carcinoma are more likely to develop late distant
      recurrence and clinicians should not ignore the follow-up examinations even more 
      than 20 years after the surgery.
FAU - Luo, Zhijie
AU  - Luo Z
AD  - Cancer Center, The First Affiliated Hospital of Guangzhou University of Chinese
      Medicine.
FAU - Cai, Qin
AU  - Cai Q
AD  - Cancer Center, The First Affiliated Hospital of Guangzhou University of Chinese
      Medicine.
FAU - Zhao, Yuanyuan
AU  - Zhao Y
AD  - Internal Medicine Center, Sun Yat-sen University Cancer Center.
FAU - Wang, Xiaochuan
AU  - Wang X
AD  - Department of Ophthalmology.
FAU - Fu, Siying
AU  - Fu S
AD  - Department of Pathology, The First Affiliated Hospital of Guangzhou University of
      Chinese Medicine, Guangzhou, Guangdong, PR China.
FAU - Zhai, Linzhu
AU  - Zhai L
AD  - Cancer Center, The First Affiliated Hospital of Guangzhou University of Chinese
      Medicine.
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
RN  - 0 (Antineoplastic Agents)
RN  - 0 (Aromatase Inhibitors)
RN  - 0 (Nitriles)
RN  - 0 (Receptors, Estrogen)
RN  - 0 (Triazoles)
RN  - 7LKK855W8I (letrozole)
SB  - AIM
SB  - IM
MH  - Antineoplastic Agents/administration & dosage
MH  - Aromatase Inhibitors/administration & dosage
MH  - Biopsy/methods
MH  - *Breast Neoplasms/pathology/surgery
MH  - Bronchi/diagnostic imaging/pathology
MH  - *Bronchial Neoplasms/pathology/secondary
MH  - Bronchoscopy/methods
MH  - Choroid/diagnostic imaging/pathology
MH  - *Choroid Neoplasms/pathology/secondary
MH  - Female
MH  - Fluorescein Angiography/methods
MH  - Humans
MH  - *Long Term Adverse Effects/drug therapy/pathology
MH  - Lymphatic Metastasis/pathology
MH  - Mastectomy/*adverse effects/methods
MH  - Middle Aged
MH  - Nitriles/*administration & dosage
MH  - Receptors, Estrogen/analysis/antagonists & inhibitors
MH  - Treatment Outcome
MH  - Triazoles/*administration & dosage
EDAT- 2018/05/17 06:00
MHDA- 2018/05/23 06:00
CRDT- 2018/05/17 06:00
PHST- 2018/05/17 06:00 [entrez]
PHST- 2018/05/17 06:00 [pubmed]
PHST- 2018/05/23 06:00 [medline]
AID - 10.1097/MD.0000000000010754 [doi]
AID - 00005792-201805180-00036 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2018 May;97(20):e10754. doi: 10.1097/MD.0000000000010754.