Bilateral Pneumothorax Associated With Lung and Pleural Metastases of Breast Cancer

Kurihara, Terumasa; Kawashima, Osamu; Endo, Keiichi; Iino, Yuichi; Ishikawa, Susumu; Morishita, Yasuo

doi:10.1155/dte.7.69

Cited by 3 publications

(7 citation statements)

References 4 publications

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“…4 It should be confirmed with the histopathological findings of the pulmonary and pleura cells. 2 In this case we did not do a histopathology procedure. Therefore, we were not sure if the pneumothorax occurred because of this pathophysiology.…”

Section: Case Report and Discussionmentioning

confidence: 98%

“…Pneumothorax associated with lung metastasis is frequently provoked by treatment-induced necrosis of metastatic tumor. 2 There were a few reports of pneumothorax provoked by the treatment of lung metastases. Saito Y et al reported in a journal a similar case with a bilateral pneumothorax formation following chemotherapy of tounge cancer.…”

Section: Case Report and Discussionmentioning

confidence: 99%

“…It is also important to note that ruptured antecedent bulla or blebs, check-valve mechanism due to the compression of the bronchiole by metastatic lesions are also the cause of pneumothorax. 2 Tumor nodules act like a ballvalves which obstruct the bronchiole and cause hyperinflation of the alveoli. The rupture of the emphysematous bulla in an overexpanded lung finally produce pneumothorax.…”

Section: Case Report and Discussionmentioning

confidence: 99%

“…Therefore, bilateral pneumothorax was considered very rare in breast carcinoma. 2 Thesecondary bilateral pneumothorax in breast carcinoma was speculated due to lung metastasisand first selected conservative therapy. 2 The lung metastasis that can be found in the radiology imaging had the appearance of cannon-ball metastases.…”

Section: Introductionmentioning

confidence: 99%

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Bilateral Pneumothorax in Lung Metastases of Breast Carcinoma: A Case Report

Kusdjianto¹,

Samsuri²,

Andri³

et al. 2022

IJRI

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Introduction: Bilateral pneumothorax is a rare case which happens in 1.3 to 1.9 percent of all cases ofÂ pneumothorax.1 In breast carcinoma patients, it is due to lung metastasis and first selected conservative therapy.2 Lung metastasis can be found in the appearance of pulmonary nodules called cannon-ball metastases in chest X-Ray (CXR).3 Method: Case report based on findings in chest X-Ray. Result: A 42 year-old female came to ER with sudden shortness of breath and pleuritic pain. She was diagnosed with breast carcinoma 3 years prior the ER visit and had undergone mastectomy on breasts and chemotherapy. Physical examination showed bilaterally decreased breath sounds. CXR AP postion showed bilateral pneumothorax and multiple nodules varied in size indicated lung metastases. Chest tubes with water-sealed drainage were inserted in both side of the lungs. CXR after the insertion showed reduction of the volume of pneumothorax in both side of the lungs and cannon-ball metastases in both sides of the lungs. CXR was performed serially until hospital discharge. Discussion: Bilateral pneumothorax which develops in patients who have history of breast carcinoma is considered very rare.It is caused by the metastatic process and treatment.2 CXR can be used to detect the metastasis and its complications such as pneumothorax.4 Conclusion: Bilateral pneumothorax is rarely seen in patients with breast carcinoma. Early detection of lung metastasis and appropriate therapy of tumor can prevent complications such as pneumothorax.Keywords: bilateral pneumothorax; lung metastases; breast carcinoma; chest X-Ray

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Section: Case Report and Discussionmentioning

confidence: 98%

Section: Case Report and Discussionmentioning

confidence: 99%

Section: Case Report and Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Bilateral Pneumothorax in Lung Metastases of Breast Carcinoma: A Case Report

Kusdjianto¹,

Samsuri²,

Andri³

et al. 2022

IJRI

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“…Of all spontaneous pneumothorax, only 1.3-1.9% of cases present with simultaneous bilateral spontaneous pneumothorax. MSSP has been reported in patients on radiation therapy, angiogenesis inhibitors, and pleural metastasis from breast carcinoma [8].…”

Section: Discussionmentioning

confidence: 99%

Spontaneous pneumothorax in metastatic osteosarcoma: a case series

et al. 2022

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Background Malignancy-associated secondary spontaneous pneumothorax (MSSP) has an incidence of 1% with a risk for recurrence of 9.4% reported in association with sarcomas, histiocytoma, malignant thymoma, and cancers of the breast and thyroid. Case presentation We report a series of four patients who presented to us with MSSP associated with pulmonary metastasis of osteosarcoma, all four being young males with metastasis to the lungs. All four patients were non-smokers and had no family history of malignancy. Less than 2% of all spontaneous pneumothoraxes present with bilateral pneumothorax, and our series reports the same in three patients. The occurrence of pneumothorax in two of the patients was in the week following chemotherapy. As there was evidence of pulmonary metastasis in these patients along with the clinical presentation of pneumothorax following chemotherapy, tumor necrosis was considered the likely etiology of spontaneous pneumothorax in these patients. All four patients required intercostal chest drain insertion, and the ICD tubes had to be retained for a prolonged duration due to either persistent air leak or secondary infection. ICD tube insertion further compromised the poor mobility of patients with lower limb lesions due to increased pain and was detrimental to the emotional morale of the patient and caregivers. The 2-year survival in such patients with pneumothorax is less than 10%. Conclusions Our series highlights the need for respiratory evaluation and follow-up both clinically and radiologically in cases of osteosarcoma, especially in the immediate post-chemotherapy period.

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