Ipsilateral pleural metastases - carcinoma of the breast

Case contributed by Dr Chris O'Donnell

Presentation

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

Patient Data

Age: 50
Gender: Female
CT

Study performed as CTPA since patient was acutely short of breath

Large left pleural effusion with multiple soft tissue denisty, pleurally based nodules of tumour. 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
Case created: 11th Mar 2013
Last edited: 18th Sep 2017
System: Chest
Inclusion in quiz mode: Included

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