Breast Cancer Case Requiring Emergency Pericardial Drainage Due to Cancerous Pericarditis at the Initial Visit
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概要
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A 49–year old female was aware of sclerosis of the left breast skin from March, 2009 but left it unresolved. From May, coughing and respiratory discomfort emerged. She first visited our hospital in late May. Skin redness was observed over the entire left breast, and bilateral accumulation of pleural effusion and pericardial fluid was observed in chest X–rays and CT scans. She was admitted with a diagnosis of inflammatory breast cancer, carcinomatous pleuritis, and cancerous pericarditis. Respiratory discomfort did not improve with administration of diuretics and implementation of thoracentesis. Because liver–kidney dysfunction was observed, peripheral hypoperfusion resulting from cardiac tamponade was diagnosed. Emergency pericardial drainage was performed at 5 days after hospitalization. Because respiratory discomfort and liver–kidney dysfunction improved, FEC100 therapy was adopted and she was discharged in the beginning of July. However, during outpatient chemotherapy, respiratory discomfort reemerged, and she was readmitted in the middle of August. Bilateral reaccumulation of pleural effusion and pericardial fluid was observed, and pericardial drainage was performed again at 4 days after re–hospitalization. Weekly Paclitaxel+Trastuzumab therapy started in late August, with a smooth recovery and she was discharged in a state of remission in late September. A PR status was maintained for 8 months regarding cancerous pericarditis, carcinomatous pleuritis, and liver metastases after the administration of Paclitaxel+Trastuzumab therapy.
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日本外科系連合学会 | 論文
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