Etiología de nódulos pulmonares en pacientes con cáncer mamario

IF 0.2 Q4 ONCOLOGY Revista Colombiana de Cancerologia Pub Date : 2020-02-11 DOI:10.35509/01239015.81
Carolina Alvarez Tapias, Luis Guzmán, Sandra Díaz, J. Carreño, Rafael Beltrán, Ricardo Buitrago, C. Carvajal
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Abstract

Materials and Methods: A case-series study was developed to describe the clinical, histological and anatomopathological characteristics of a sample of patients with a diagnosis of de novo metastatic breast cancer or whom presented with pulmonary nodules during their disease that required surgical resection by wedge pulmonary or lobectomy in the INC, between January 1, 2015 and April 30, 2018. Results: Fifty-five cases were included in the study period, of which 26 (47.3%) were breast cancer metastases, 9 (16.4%) were pulmonary primary second, and 1 (1.8%) patient had primary pulmonary cancer and one breast metastasis concomitantly. Another 2 (3.6%) patients had metastases from other organs, one from the rectum and one from the thyroid, while the remaining 17 (30.9%) patients presented a report of benign pulmonary lesions in the pathological anatomy. Conclusion: The presence of pulmonary nodules in patients with breast cancer are not always secondary to metastatic disease. Other etiologies may exist, such as primary pulmonary cancer, metastasis from other cancers, benign lung tumors or infections. Knowing the etiology of pulmonary nodules in patients with breast cancer is crucial to evaluate the therapeutic options .
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乳腺癌患者肺结节的病因
材料和方法:制定了一项病例系列研究,以描述2015年1月1日至2018年4月30日期间,诊断为新发转移性癌症乳腺癌或在其疾病期间出现肺结节,需要在INC通过楔形肺切除术或肺叶切除术进行手术切除的患者样本的临床、组织学和解剖病理学特征。结果:研究期间共有55例病例,其中26例(47.3%)为乳腺癌症转移,9例(16.4%)为肺原发性继发性转移,1例(1.8%)为原发性癌症和1例乳腺转移伴发。另外2名(3.6%)患者有其他器官的转移,一名来自直肠,一名源自甲状腺,而其余17名(30.9%)患者在病理解剖上报告了肺部良性病变。结论:癌症患者肺结节的存在并不总是继发于转移性疾病。其他病因可能存在,如原发性癌症、其他癌症转移、良性肺部肿瘤或感染。了解癌症患者肺结节的病因对于评估治疗方案至关重要。
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50.00%
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期刊介绍: The Revista Colombiana de Cancerología is an official publication of the Instituto Nacional de Colombia (INC). The Revista is published quarterly with the aim of broadening and disseminating knowledge in the field of oncology. The Revista publishes articles on: molecular carcinogenic mechanisms and treatment responses; cancer epidemiology; clinical features and treatment of neoplastic disease and public health campaigns to control cancer. Manuscripts which contain original material shall be accepted for possible publication. Neither the article nor any part of its contents (including statistical or graphic content) may have been published or submitted for publication in any media other than the Revista Colombiana de Cancerología. No acceptance shall be made of preliminary reports (abstracts or posters) presented at scientific meetings, neither of press releases on programmed meetings. All manuscript copies shall be placed at the disposition of the Journal Editorial Board. Under exceptional circumstances, secondary publications in Spanish or other languages may be submitted, provided they comply with certain conditions which justify said submission.
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