title: [A case of advanced breast carcinoma with local hemorrhage during a control of hyperthyroidism].
abstract: A CASE: A 55-year-old woman. Around the year 2006, the right breast lump was found by palpating. The pain also appeared in 2008, too, and confirmed that it appeared to have a tendency to increase. A medical check-up was done and diagnosed as T4b, N0, M0, stage IIIB of the breast cancer by a close inspection. We noted hyperthyroidism in March 2008. We treated it with internal medicine, but we could not control it. We waited for a thyroid function to be normalized. Then we were to perform a surgery. In January 2009, we observed a bleeding from the part of the breast cancer. We controlled the thyroid function by internal medicine. Then we performed a pectoralis muscle preservation breast surgery and dermanaplasty with a shortest anesthesia time in order to control the infestation to be minimal. It was very likely that we caused a heart failure when a major infestation such as general anesthesia in the case of a patient with hyperthyroidism. Because we were able to control the hyperthyroidism this time and a thyroid function to be stabilized for a local advanced breast carcinoma with the hemorrhage temporarily, and were able to operate for the breast cancer, as we reported it in this study.
authors.affiliation: Division of General, Breast and Endocrine and Respiratory Surgery, Department of Surgery, Nihon University School of Medicine.
authors.forename: Katsuhisa
authors.initials: K
authors.lastname: Enomoto
authors.forename: Kenichi
authors.initials: K
authors.lastname: Sakurai
authors.forename: Sadao
authors.initials: S
authors.lastname: Amano
authors.forename: Motomi
authors.initials: M
authors.lastname: Shiono
mesh_terms: D000230:Adenocarcinoma / Q000150:complications / Q000601:surgery; D001943:Breast Neoplasms / Q000150:complications* / Q000601:surgery; D018270:Carcinoma, Ductal, Breast / Q000150:complications* / Q000601:surgery; D002291:Carcinoma, Papillary / Q000150:complications / Q000601:surgery; D005260:Female; D006470:Hemorrhage / Q000209:etiology*; D006801:Humans; D006980:Hyperthyroidism / Q000150:complications / Q000188:drug therapy*; D008875:Middle Aged