乳腺癌伴心包转移1例  

A Case of Breast Cancer with Pericardial Me-tastasis

作　　者：郑士耀 孙畅 杨铭 苗婷婷 胡浇浇 丛竹军[3] 曹玉文[1,2] 王良海[1,2] 梁伟华[1,2] 杨兰[1,2] 崔晓宾[1,4] 

机构地区：[1]石河子大学医学院病理系,新疆 石河子 [2]石河子大学第一附属医院病理科,新疆 石河子 [3]石河子大学第一附属医院胃肠乳腺外科,新疆 石河子 [4]南京大学医学院附属鼓楼医院病理科,江苏 南京

出　　处：《临床医学进展》2023年第6期10275-10280,共6页Advances in Clinical Medicine

摘　　要：乳腺癌的心脏转移是一种已知但是少见的晚期恶性并发症,我们报道了一例乳腺癌转移产生恶性心包积液的病例,一位65岁的女性在接受左乳腺癌改良根治术后两年出现胸闷气憋等症状,行心包穿刺置管引流术后将心包积液送病理科行液体蜡块制作、免疫组织化学检测等技术,最后确诊为乳腺癌心包转移疾病,患者在恶性心包积液出现3个月后去世。因此,对有乳腺癌病史的心包积液患者,抽取心包积液送病理诊断对其治疗方案的制定和预后分析有重要意义。Cardiac metastasis from breast cancer is a known but rare late malignant complication. We report a case of breast cancer metastasis producing malignant pericardial effusion in a 65-year-old woman who developed chest tightness and breathlessness two years after undergoing modified radical surgery for left breast cancer, and the pericardial effusion was sent to the pathology department for liquid wax block production and immunohistochemical testing after pericardiocentesis and drain-age. The final diagnosis was metastatic breast cancer. The patient died 3 months after the appear-ance of the malignant pericardial effusion. Therefore, in patients with pericardial effusion with a history of breast cancer, the extraction of pericardial effusion for pathological diagnosis is important for the development of their treatment plan and prognostic analysis.

关 键 词：乳腺癌 转移 恶性心包积液 

分 类 号：R73[医药卫生—肿瘤]