Ipsilateral pleural metastases - breast cancer

Case contributed by Dr Chris O'Donnell

Presentation

Acute shortness of breath. Past history of breast malignancy treated with surgery and radiotherapy.

Patient Data

Age: 50 years
Gender: Female

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

CT

Study performed as CTPA since patient was acutely short of breath

Large left pleural effusion with multiple soft tissue denisties, pleurally based nodules of tumor. Note only on the left side (site of breast cancer).

Case Discussion

Breast cancer seems to be able to spread into the pleural cavity on the same side (ipsilateral) probably via chest wall lymphatics. These parietal pleura-based nodules cause a reactive effusion requiring percutaneous drainage and pleurodesis to prevent reaccumulation.

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Case information

rID: 22097
Published: 11th Mar 2013
Last edited: 26th Jan 2021
System: Oncology, Chest
Inclusion in quiz mode: Included

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