本月医学影像:转移性乳腺梭形细胞癌

V. Kusupati, S. Natali
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引用次数: 0

摘要

没有可用的摘要。文章在150字后被截断。临床场景:一名71岁的女性,原发性乳腺恶性肿瘤在2005年和2008年双侧乳房切除术后病情缓解,在过去的6个月里出现了渐进性呼吸急促。到达急诊室后,她描述了右侧胸壁的局部剧烈胸痛,在过去三个月里逐渐恶化。疼痛随着运动和深深的灵感而加剧。她还表现出明显的咳血,在就诊当天早上咳出约500毫升带血痰。相关生命体征显示,她既有心动过速,也有呼吸急促,房间空气中94%饱和,呼吸功增加。体格检查对粗气音和右侧肺音减弱有重要意义。最初的实验室显示肌钙蛋白正常,心电图不明显。胸部X线片显示左侧纵隔和肺门有大量实质结节…
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Medical Image of the Month: Metastatic Spindle Cell Carcinoma of the Breast
No abstract available. Article truncated after 150 words. Clinical Scenario: A 71-year-old woman with primary malignancy of the breast in remission post bilateral mastectomy in 2005 and 2008, presented to the emergency room with progressive shortness of breath for the past 6 months. Upon arrival to the emergency room, she described localized sharp chest pain along the right thoracic wall which had gradually worsened over the past three months. The pain was exacerbated with movement and with deep inspiration. She also endorsed significant hemoptysis, expectorating approximately 500 ml of bloody sputum on the morning of her presentation. Pertinent vitals revealed that she was both tachycardic and tachypneic, saturating 94% on room air with an increased work of breathing. Physical examination was significant for coarse breath sounds and diminished right sided lung sounds. Initial labs demonstrated a normal troponin and an unremarkable EKG. A chest radiograph demonstrated a large left mediastinal and hilar mass with numerous parenchymal nodules bilaterally. …
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