[75-year old female with progressive idiopathic lung fibrosis].
A 75-year old female was admitted to the intensive care unit because of a respiratory insufficiency during a bronchoscopy. Extubation was done rapidly. Two months before, the patient suffering from breast cancer without metastases underwent a radical mastectomy. Thoracic x-ray presented a progressive shadow. Differential diagnoses took into consideration neoplastic, infectious or immunologic causes. The following day the patient suffered from dyspnea. A cardiopulmonary resuscitation was without success. Obduction revealed a honeycomb lung. Histology presented an idiopathic lung fibrosis.
Medizinische Klinik 1, Klinikum Wetzlar, Wetzlar, Germany. dirk.bandorski@t-online.de
Dirk
D
Bandorski
Jens Uwe
JU
Alles
Oliver
O
Basten
Martin
M
Brück
D000368:Aged; D001943:Breast Neoplasms / Q000473:pathology / Q000601:surgery; D001999:Bronchoscopy; D018270:Carcinoma, Ductal, Breast / Q000473:pathology / Q000601:surgery; D003422:Critical Care; D018450:Disease Progression; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D054990:Idiopathic Pulmonary Fibrosis / Q000175:diagnosis* / Q000473:pathology; D008168:Lung / Q000473:pathology; D008218:Lymphocytosis / Q000473:pathology; D008408:Mastectomy; D009367:Neoplasm Staging; D011183:Postoperative Complications / Q000175:diagnosis / Q000473:pathology; D011650:Pulmonary Alveoli / Q000473:pathology; D012131:Respiratory Insufficiency / Q000209:etiology / Q000628:therapy; D014057:Tomography, X-Ray Computed
Am J Med. 1990 Apr;88(4):396-404
2183601
Am J Respir Crit Care Med. 2000 Feb;161(2 Pt 1):646-64
10673212
Am J Respir Crit Care Med. 1994 Oct;150(4):967-72
7921471
Am J Respir Crit Care Med. 2002 Jan 15;165(2):277-304
11790668
Am J Respir Crit Care Med. 1994 Mar;149(3 Pt 1):818-24
7509706
Am J Respir Crit Care Med. 2002 May 1;165(9):1322-8
11991887
Am Rev Respir Dis. 1991 Aug;144(2):291-6
1859050
Am J Respir Crit Care Med. 1998 Oct;158(4):1286-93
9769293
Am J Respir Crit Care Med. 1998 Apr;157(4 Pt 1):1301-15
9563754
Proc Natl Acad Sci U S A. 1991 Aug 1;88(15):6642-6
1862087
Am J Respir Crit Care Med. 1994 Feb;149(2 Pt 1):450-4
8306044
Prax Klin Pneumol. 1979 Apr;33 Suppl 1:680-8
461366
Br J Dis Chest. 1981 Jan;75(1):61-70
7259967