Case Report of Pulmonary Sarcoidosis Suspected to be Pulmonary Metastasis in a Patient with Breast Cancer
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Standard endocrine therapy and chemotherapy can induce long-term remission inbreast cancer patients; however, breast cancer can recur at any site. Pulmonary noduleswith lymphadenopathy in advanced cancer patients are likely to be assumed asmetastases. A 44-year-old woman with a history of breast cancer was presented toour institution with abnormal findings on 18-fluorodeoxyglucose positron emissiontomography imaging, which suggested lung metastasis. She had previously beendiagnosed with breast cancer (T1N2M0, Stage IIIa, intraductal carcinoma, triplenegative cancer). Histological analysis of the mediastinal lymph node biopsy demonstratedsarcoidosis, showing a chronic, non-caseating, granulomatous inflammation. Our case highlights the need for non-malignant diagnoses in those with prior malignancies,and the need for histological evaluations in the event of first recurrencefollowing potentially curative therapy.
Abstract
Standard endocrine therapy and chemotherapy can induce long-term remission inbreast cancer patients; however, breast cancer can recur at any site. Pulmonary noduleswith lymphadenopathy in advanced cancer patients are likely to be assumed asmetastases. A 44-year-old woman with a history of breast cancer was presented toour institution with abnormal findings on 18-fluorodeoxyglucose positron emissiontomography imaging, which suggested lung metastasis. She had previously beendiagnosed with breast cancer (T1N2M0, Stage IIIa, intraductal carcinoma, triplenegative cancer). Histological analysis of the mediastinal lymph node biopsy demonstratedsarcoidosis, showing a chronic, non-caseating, granulomatous inflammation. Our case highlights the need for non-malignant diagnoses in those with prior malignancies,and the need for histological evaluations in the event of first recurrencefollowing potentially curative therapy.
참고문헌 (15)
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