Endobronchial Metastasis from Cancer of the Breast

DeBeer, Roy A.

doi:10.1378/chest.74.3.321-a

Cited by 5 publications

(6 citation statements)

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“…The second most common metastasis found in the bronchial tree is reputedly from breast, 17 instances being previously recorded.2 [12][13][14][15] This report adds a further Shepherd No record could be found of endobronchial metastases arising from transitional cell carcinoma of the bladder. This paper presents two cases.…”

Section: Discussionmentioning

confidence: 87%

Endobronchial metastatic disease.

Shepherd¹

1982

Thorax

118

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Between 1969 and 1979, 90 patients of the Thoracic Surgical Unit at Harefield Hospital were found to have pulmonary metastatic disease. In 25 instances (28 %) the diagnosis was established by bronchial biopsy. Twenty-four patients had endobronchial metastatic carcinoma and in one metastatic sarcoma was diagnosed. All but one had a past history of malignancy, the interval between treatment of the primary and appearance of the endobronchial metastasis ranging from a few months to 17 years. Primary sites in these patients included large intestine, breast, cervix, uterus, and bladder. There were four instances of metastatic malignant melanoma. The pulmonary secondaries were resectable in 10 patients and in one a second resection was done for a further metastasis three years after the first. Three patients are still alive two, four, and 10 years later.It is reported that the incidence of endobronchial metastatic disease is about 2 %.1 This figure was reached by a review of postmortem findings. In the present series of 90 surgical patients with pulmonary metastases, 28 % had endobronchial tumour. All the lesions were readily visible bronchoscopically, involving bronchi proximal to subsegmental level. These findings suggest that the incidence of bronchial involvement by pulmonary secondaries is greater than generally supposed and that bronchoscopy should form an essential part of the investigation and assessment of such patients, whether the diagnosis is suspected or not.

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Section: Discussionmentioning

confidence: 87%

Endobronchial metastatic disease.

Shepherd¹

1982

Thorax

118

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“…Follow-up on this group of patients as of July 1979, indicated that six patients (1,3,4,7,8,10) had died as a result of tumour. No necropsies had been performed.…”

Section: Resultsmentioning

confidence: 93%

“…Eight of the 10 patients had infiltrating ductal carcinoma. Six (patients 1,2,5,6,7,9) of the 10 patients had radiographic findings of loss of volume, atelectasis, or persistent segmental or lobar infiltrates suggesting bronchial obstruction. Mucosal biopsy was carried out in all 10 cases and was diagnostic of metastatic breast carcinoma in seven.…”

Section: Resultsmentioning

confidence: 99%

Endobronchial metastasis in breast cancer.

Albertini¹,

Ekberg²

1980

Thorax

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Ten patients with endobronchial metastasis from primary breast cancer were found among 1200 fibreoptic bronchoscopies. Six of these patients had radiological signs suggesting bronchial obstruction. All the bronchoscopies were performed by us using the standard transnasal approach4 with either the Olympus BF5B2 or BFB2 fibreoptic bronchoscope. Topical anaesthesia with 1 % lignocaine was used. Atropine 0-8 mg intramuscularly was given before the procedure.Bronchial washings were collected with a standard suction trap and fixed in 50% ethyl alcohol before transport to the cytology laboratory. The method of Papanicolaou5 for fixing and staining

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“…The median survival time from the diagnosis of PSCP has been reported to be about 24 months (4,6). Although endobronchial metastasis from ovarian carcinoma has been reported (1,12), there are no reports of endobronchial metastasis from PSCP.…”

Section: F I G U R E 2 B R O N C H O S C O P I C P H O T O G R a P mentioning

confidence: 99%

“…Since various definitions of endobronchial metastasis have been proposed, the reported frequencies of endobronchial metastasis vary, ranging from 2% to 50% of pulmonary metastases from extrathoracic neoplasms (1,3,7,12,13 (1). In the present case, mediastinal and hilar lymphadenopathy were (1,7,14).…”

Section: Papillary Serous Carcinoma Of the Peritoneum (Pscp) Is A Rarmentioning

confidence: 99%