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患者女,61岁,因乳腺癌术后5年、喘憋4个月于2010年2月23日入院。患者2005年因左乳腺浸润性导管癌行乳腺癌根治术,规律随诊无复发。3个月前颈背部按摩后出现喘憋,不能平卧。外院查心脏彩超和冠脉造影未见异常,胸部增强CT示双中下肺膨胀不全,前上纵隔团块影,增强后轻度强化,左侧乳腺见斑片状高密度影(图1)。考虑乳腺癌复发,予3程化疗,喘憋症状减轻,复查胸部CT示纵隔占
Female patient, 61 years old, 5 years after breast cancer surgery, wheezing 4 months on February 23, 2010 admission. Patients with left breast invasive ductal carcinoma in 2005 underwent radical mastectomy, regular follow-up without recurrence. 3 months ago neck back massage wheezing, can not lie down. Outside the hospital check the echocardiography and coronary angiography showed no abnormalities, chest enhanced CT showed double inferior pulmonary dilation, anterior mediastinum block shadow, enhanced mild enhancement, the left breast see patchy high density (Figure 1) . Consider the recurrence of breast cancer, to 3 chemotherapy, relieve wheezing symptoms, review chest CT showed mediastinal accounted for