title: A case report of breast cancer with extensive pulmonary lymphovascular tumor emboli.
abstract: We describe a patient with breast cancer who relapsed with an extensive pulmonary lymphovascular tumor embolism. A 38-year-old female, who previously received neoadjuvant chemotherapy and curative resection of breast cancer, underwent adjuvant chemotherapy and was referred to the emergency room because of sudden-onset pleuritic chest pain lasting for 10 days. Despite a trial of empirical antibiotics, the chest pain and the extent of consolidative lung lesion on chest radiographs rapidly aggravated. We performed an open lung biopsy to confirm the etiology. The histopathological review revealed a hemorrhagic infarction caused by lymphovascular tumor emboli from a metastatic breast carcinoma. Palliative first-line chemotherapy was administered, consisting of ixabepilone and capecitabine, and the lung lesion improved markedly.
authors.affiliation: Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea.
authors.forename: Yaewon
authors.initials: Y
authors.lastname: Yang
authors.forename: Younak
authors.initials: Y
authors.lastname: Choi
authors.forename: Seung Hoon
authors.initials: SH
authors.lastname: Beom
authors.forename: Jin Won
authors.initials: JW
authors.lastname: Kim
authors.forename: Yoon Kyung
authors.initials: YK
authors.lastname: Joen
authors.forename: Nam-Joong
authors.initials: NJ
authors.lastname: Kim
authors.forename: Joo Hyun
authors.initials: JH
authors.lastname: Kim
authors.forename: Seock-Ah
authors.initials: SA
authors.lastname: Im
authors.forename: Kyung-Hun
authors.initials: KH
authors.lastname: Lee