| Autor: |
Kuerer, Henry M., Wilson, Mark W., Bowersox, Jon C. |
| Předmět: |
|
| Zdroj: |
Breast Journal; Mar/Apr2001, Vol. 7 Issue 2, p128-128, 1p |
| Abstrakt: |
A 74-year-old woman with end-stage renal disease presented with a 2-month history of progressive unilateral left breast edema and peau d'orange (Fig. 1a) without appreciable breast mass or regional lymphadenopathy. Diagnostic mammogram demonstrated marked skin thickening and a generalized increase in breast density. Punch and core biopsies were negative for carcinoma. The patient had a history of prior left internal jugular dialysis catheter placement and was now noted to have elevated venous pressures at dialysis. Her left forearm loop graft was catheterized and a venogram uncovered a significant left innominate vein stenosis (Fig. lb, arrow). Balloon venoplasty of the stenosis resulted in significant regression of the breast edema over the next few days. In addition to diffuse infiltration of the breast with carcinoma, central venous stenosis should be included in the differential diagnosis of unilateral breast edema in dialysis patients who have had prior central vein catheterization. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
|
