Metastasis at a tracheostomy site as the presenting sign of late recurrent breast cancer.

Détails

ID Serval
serval:BIB_F6044DC44108
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Metastasis at a tracheostomy site as the presenting sign of late recurrent breast cancer.
Périodique
Head and Neck
Auteur(s)
Rotolo N., Dominioni L., De Monte L., Conti V., La Rosa S., Imperatori A.
ISSN
1097-0347 (Electronic)
ISSN-L
1043-3074
Statut éditorial
Publié
Date de publication
2013
Peer-reviewed
Oui
Volume
35
Numéro
11
Pages
E359-E362
Langue
anglais
Notes
Publication types: Case Reports ; Journal Article ; ReviewPublication Status: ppublish
Résumé
BACKGROUND: Metastasis in a tracheostomy site occurs rarely, usually from head and neck primary tumors. Breast cancer relapse to a tracheostomy has not been described to date.
METHODS AND RESULTS: A 71-year-old women presented with symptoms typical of central airway obstruction, 10 years after mastectomy for breast cancer. Fifteen months before admission, when cancer follow-up was negative, she also had surgery for cerebral aneurysm and a tracheostomy. On admission, CT showed a solid mass infiltrating the tracheostomy tract and projecting into the airway. Tracheal obstruction palliation was achieved by laser resection of the endotracheal growth and stenting. Histology documented breast cancer metastasis.
CONCLUSIONS: Tracheostomy site metastasis was the presenting sign of late-onset relapse of breast cancer. This case supports the concept of surgery-driven interruption of micrometastatic cancer dormancy, in that the initial recurrence developed in a tracheostomy that was surgically created several years after resection of the primary tumor.
Mots-clé
Aged, Biopsy, Needle, Breast Neoplasms/pathology, Breast Neoplasms/surgery, Bronchoscopy/methods, Carcinoma, Ductal, Breast/secondary, Carcinoma, Ductal, Breast/surgery, Disease Progression, Fatal Outcome, Female, Humans, Immunohistochemistry, Mastectomy/methods, Neoplasm Recurrence, Local/pathology, Neoplasm Recurrence, Local/surgery, Respiratory Insufficiency/diagnosis, Respiratory Insufficiency/etiology, Risk Assessment, Stroke/diagnosis, Stroke/therapy, Time Factors, Tracheal Neoplasms/pathology, Tracheal Neoplasms/secondary, Tracheal Stenosis/diagnosis, Tracheal Stenosis/etiology, Tracheostomy
Pubmed
Web of science
Création de la notice
06/09/2016 12:58
Dernière modification de la notice
20/08/2019 16:22
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