einstein (São Paulo). 20/set/2024;22:eAI1116.
Look back in anger: bronchial stenosis secondary to very late recurrence of breast cancer
DOI: 10.31744/einstein_journal/2024AI1116
A 78-year-old non-smoking female patient presented to the medical office with a history of two self-limited episodes of hemoptysis occurring 8 weeks prior. She had previously undergone treatment for ductal adenocarcinoma in the right breast 17 years ago, involving mastectomy followed by chemotherapy and radiotherapy.
Physical examination revealed no abnormalities, and her SpO2 was 98% on room air. A CT scan exhibited circumferential thickening of the right main bronchus, encompassing the origin of the upper lobe bronchus and extending to the intermediate lobe bronchus (-). Further investigation included bronchoscopy, bronchoalveolar lavage, endobronchial biopsy, and serological tests. Immunohistochemistry results from the endobronchial biopsy revealed metastatic adenocarcinoma of the breast (-). Consequently, the patient was referred to oncology.
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