Segmental Contour Mapping Pattern in a Patient With Breast Carcinoma

A 56-year-old woman status post bilateral mastectomies, chemotherapy, and radiation treatment of breast cancer presented with dyspnea and associated pleuritic chest pain, fatigue, and chest heaviness. Imaging studies including a chest radiograph, lower extremity color Doppler ultrasound, computed to...

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Bibliographic Details
Published in:Clinical nuclear medicine 2004-11, Vol.29 (11), p.745-747
Main Authors: Nguyen, David Tu Kim, Kim, Sun Yong, Lim, Julia, Varma, Manish
Format: Article
Language:English
Subjects:
Breast Neoplasms - pathology
Female
Humans
Lung Neoplasms - diagnostic imaging
Middle Aged
Neoplastic Cells, Circulating
Radiography
Radionuclide Imaging
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Summary:A 56-year-old woman status post bilateral mastectomies, chemotherapy, and radiation treatment of breast cancer presented with dyspnea and associated pleuritic chest pain, fatigue, and chest heaviness. Imaging studies including a chest radiograph, lower extremity color Doppler ultrasound, computed tomography pulmonary angiogram, and high-resolution chest CT (HRCT) were all negative. Lung scan revealed contour mapping of the bronchopulmonary segments, a pattern which can be seen in patients with tumor emboli syndrome or lymphangitic carcinomatosis. A pulmonary angiogram with microvascular cytologic sampling revealed no pulmonary embolus but confirmed the presence of malignant cells identical to the patientʼs breast cancer.
ISSN:0363-9762
1536-0229
DOI:10.1097/00003072-200411000-00023