Subclavian brachial plexus metastasis from breast cancer:A case report

作     者：Zeng Zeng Nan Lin Li-Tao Sun Cong-Xian Chen 

作者机构：Department of Ultrasound MedicineZhejiang Provincial People’s HospitalAffiliated People’s HospitalHangzhou Medical CollegeHangzhou 310000Zhejiang ProvinceChina Plastic Surgery CenterDepartment of Hand&Reconstruct SurgeryZhejiang Provincial People’s HospitalAffiliated People’s HospitalHangzhou Medical CollegeHangzhou 310000Zhejiang ProvinceChina 

出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期：2022年第10卷第33期

页      面：12261-12267页

核心收录：

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Brachial plexus Metastasis Breast Cancer Ultrasound Magnetic resonance imaging 18Ffluorodeoxyglucose positron emission tomography/computed tomography Case report 

摘      要：BACKGROUND The common area of breast cancer metastases are bone,lung and *** plexus metastasis from breast cancer is extremely *** report a case of subclavian brachial plexus metastasis from breast cancer 6 years postoperative,which were detected by ultrasound,magnetic resonance imaging(MRI)and 18Ffluorodeoxyglucose positron emission tomography and computed tomography(FDG-PET/CT).CASE SUMMARY Our study reports a 64-year-old woman who had right breast cancer and underwent radical mastectomy 6 years *** first revealed a soft lesion measuring 38 mm×37 mm which located on the right side of the clavicle to the armpit *** right subclavian brachial plexus(beam level)was significantly thickened,wrapped around by a hypoechoic lesion,the surrounded axillary artery and vein were *** brachial plexus scan showed that the right side of brachial plexus was enlarged compared with the left side and brachial plexus bundle in the distance showed a flake ***-PET/CT revealed that the right side of brachial plexus nodular appearance with increased FDG *** results supported brachial plexus metastasis from breast *** exam also found many lesions between pectoralis major,deltoid muscle and inner upper *** lesion puncture was performed under ultrasound guidance and the tissue was sent for *** showed large areas of tumor cells in fibroblast *** showed the following results:A2-1:GATA3(+),ER(+,strong,90%),PR(+,moderate,10%),HER-2(3+),Ki67(+15%),P120(membrane+),P63(-),E-cadherin(+),CK5/6(-).These results were consistent with the primary right breast cancer characteristics,thus supporting lesion metastasis from breast *** The brachial plexus metastasis from breast cancer is *** has great value in detecting brachial plexus metastasis of breast *** is an easy,non-invasive and affordable *** attention should be paid to new grow