Thoracic manifestations of breast cancer and its therapy

被引:34
作者
Jung, JI
Kim, HH
Park, SH
Song, SW
Chung, MH
Kim, HS
Kim, KJ
Ahn, MI
Seo, SB
Hahn, ST
机构
[1] Catholic Univ Korea, Coll Med, St Marys Hosp, Dept Radiol, Seoul 150713, South Korea
[2] Univ Ulsan, Coll Med, Asan Med Ctr, Dept Radiol, Seoul, South Korea
关键词
breast diseases; breast surgery; breast neoplasms; metastases; postoperative; surgery; therapy; chemotherapy; complications; lung neoplasms; lymphatic system; neoplasms; radiations; injurious effects;
D O I
10.1148/rg.245035062
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Breast cancer is the second most common cause of cancer-related death in women. In most patients, imaging demonstrates thoracic changes resulting from either treatment, complications of treatment, or tumor recurrence or metastasis. The postsurgical imaging appearance of the chest wall depends on the surgical method used (radical mastectomy, modified radical mastectomy, breast-conserving surgery, breast reconstruction). The most common surgery-related complication is seroma. Radiation therapy frequently causes radiation pneumonitis, which occurs approximately 4-12 weeks after the completion of therapy and is characteristically limited to the field of irradiation. Chemotherapy-related complications include cardiotoxicity, pneumonitis, and infection. Ultrasonography and computed tomography are more sensitive than physical examination for detecting local and regional recurrence. The thorax is a common site of metastasis, which may affect the lymph nodes, bone, lung, pleura, or heart and pericardium. Bone metastasis is usually evaluated with bone scintigraphy and may cause spinal cord compression, a serious complication that requires early diagnosis. Intrapulmonary metastasis may manifest as single or multiple pulmonary nodules, airspace pattern metastasis, lymphangitic metastasis, or endobronchial metastasis. Pleural metastasis usually manifests as pleural effusion, with or without a pleural mass. Familiarity with the spectrum of radiologic findings in breast cancer patients allows accurate image interpretation and correct diagnosis.
引用
收藏
页码:1269 / 1285
页数:17
相关论文
共 76 条
[2]  
BELL J, 1988, CLIN RADIOL, V39, P109
[3]  
BENNETT DE, 1969, CANCER-AM CANCER SOC, V23, P1001, DOI 10.1002/1097-0142(196905)23:5<1001::AID-CNCR2820230505>3.0.CO
[4]  
2-E
[5]  
BOSTWICK J, 1990, PLASTIC RECONSTRUCTI, P669
[6]   SURGICAL MORBIDITY AFTER MASTECTOMY OPERATIONS [J].
BUDD, DC ;
COCHRAN, RC ;
STURTZ, DL ;
FOUTY, WJ .
AMERICAN JOURNAL OF SURGERY, 1978, 135 (02) :218-220
[7]  
BUZDAR AU, 1985, CANCER, V55, P2761, DOI 10.1002/1097-0142(19850615)55:12<2761::AID-CNCR2820551206>3.0.CO
[8]  
2-P
[9]  
CASEY JJ, 1984, SURGERY, V96, P801
[10]  
CHAO KSC, 2002, RAD ONCOLOGY MANAGEM