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Bilateral Pneumothorax Associated With Lung and Pleural Metastases of Breast Cancer

机译：双边气胸与乳腺癌的肺和胸膜转移相关

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摘要

A rare case of bilateral pneumothorax in a 54-year-old woman with advanced breast cancerassociated with lung and pleural metastases is presented. The patient was admitted to ourhospital complaining of unexpected severe dyspnea. A chest X-ray showed bilateral pneumothoraxassociated with multiple lung metastases and pleural effusions, followed byimmediate pleural drainage. Although air leak and effusions of the right lung were wellcontrolled by the conservative management, massive air leaks of the left lung had continuedfor 40 days. Because of patient's poor general status a surgical closure of the leaking sitewas selected using video-assisted thoracoscopic surgery techniques. Thoracoscopy revealeda ruptured bulla in the lower lobe (S6), thus, followed by a successful bullectomy with astapling device. We speculate that multiple pleural metastasis may disturb the normalrepair mechanism of the lung tissue and cause prolonged persistent air leaks.
机译：本文介绍了一位54岁的晚期乳腺癌伴有肺和胸膜转移的双侧气胸的罕见病例。该患者因意外的严重呼吸困难入院。胸部X光检查显示双侧气胸并发多处肺转移和胸腔积液，然后立即进行胸膜引流。尽管通过保守管理可以很好地控制右肺的漏气和积液，但是左肺的大量漏气已经持续了40天。由于患者的总体状况较差，因此采用视频辅助胸腔镜手术技术选择了手术部位的泄漏部位。胸腔镜检查显示下叶的大疱破裂（S6），随后成功进行了带吻合器的牛切除术。我们推测，多处胸膜转移可能会干扰肺组织的正常修复机制，并导致长期持续性漏气。

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