内容紹介
Recurrent Breast Cancer in Patients with Controlled Malignant Cardiac Tamponade―Two Case Reports
Summary
The first case involves a 50-year-old woman who had undergone total mastectomy of the left breast due to breast cancer. Two years after the surgery, recurrent disease was detected in the chest wall, which spread to the cervical lymph nodes and bones. After 5 years, the patient developed cardiac tamponade; 760 mL of fluid was removed via percutaneous pericardial drainage, and the pericardium was subsequently injected with OK-432 and adriamycin. No recurring pericardial effusion was noted in the 20-month period before her death. The second case involves a 67-year-old woman. Six years after she underwent a breast-preserving surgery of the left breast, bone metastasis was detected at multiple sites. The patient then developed cardiac tamponade after 11 years; after 900 mL of fluid was drained via percutaneous pericardial drainage, the catheter was removed and no injection was administered. Moreover, no recurring pericardial effusion was noted in the 2-month period before her death.
要旨
症例1は50歳,女性。左乳癌に対する左全乳房切除術の2年後に胸壁再発し,その後左頸部リンパ節と左大腿骨に転移し,5年後に心タンポナーデを発症した。経皮的心嚢ドレナージにより760 mLの淡血性心嚢液を排出し,心嚢腔にOK-432とアドリアマイシンを注入した。以後永眠される1年8か月間,心嚢液の再貯留はみられなかった。症例2は67歳,女性。左乳癌に対する左乳房温存手術の6年後に多発骨転移が出現し,11年後に心タンポナーデを発症した。経皮的心嚢ドレナージにより900 mLの淡血性心嚢液を排出し,心嚢腔に薬剤を注入せずにカテーテルを抜去した。以後永眠される2か月間,心嚢液の再貯留はみられなかった。
目次
Summary
The first case involves a 50-year-old woman who had undergone total mastectomy of the left breast due to breast cancer. Two years after the surgery, recurrent disease was detected in the chest wall, which spread to the cervical lymph nodes and bones. After 5 years, the patient developed cardiac tamponade; 760 mL of fluid was removed via percutaneous pericardial drainage, and the pericardium was subsequently injected with OK-432 and adriamycin. No recurring pericardial effusion was noted in the 20-month period before her death. The second case involves a 67-year-old woman. Six years after she underwent a breast-preserving surgery of the left breast, bone metastasis was detected at multiple sites. The patient then developed cardiac tamponade after 11 years; after 900 mL of fluid was drained via percutaneous pericardial drainage, the catheter was removed and no injection was administered. Moreover, no recurring pericardial effusion was noted in the 2-month period before her death.
要旨
症例1は50歳,女性。左乳癌に対する左全乳房切除術の2年後に胸壁再発し,その後左頸部リンパ節と左大腿骨に転移し,5年後に心タンポナーデを発症した。経皮的心嚢ドレナージにより760 mLの淡血性心嚢液を排出し,心嚢腔にOK-432とアドリアマイシンを注入した。以後永眠される1年8か月間,心嚢液の再貯留はみられなかった。症例2は67歳,女性。左乳癌に対する左乳房温存手術の6年後に多発骨転移が出現し,11年後に心タンポナーデを発症した。経皮的心嚢ドレナージにより900 mLの淡血性心嚢液を排出し,心嚢腔に薬剤を注入せずにカテーテルを抜去した。以後永眠される2か月間,心嚢液の再貯留はみられなかった。