Life-Threatening Hematoma in an Elderly Breast Cancer Patient Undergoing Chemotherapy.

IF 2.2 4区 医学 Q3 ONCOLOGY
Journal of Breast Cancer Pub Date : 2023-10-01 Epub Date: 2023-09-08 DOI:10.4048/jbc.2023.26.e41
Ik Beom Shin, Wonshik Han, Han-Byoel Lee, Hong-Kyu Kim, Hyeong-Gon Moon
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Abstract

The use of neoadjuvant chemotherapy in older patients is increasing. However, chemotherapy should be administered considering the medical comorbidities of the patients and the toxicity of chemotherapeutic agents. Here, we present a case of abdominal wall hematoma with spontaneous inferior epigastric artery injury caused by coughing in a 70-year-old woman who was treated with neoadjuvant chemotherapy. Abdominal computed tomography demonstrated an abdominal wall hematoma with active bleeding. However, angiography with selective embolization of the right inferior epigastric artery and the right internal mammary artery was performed successfully. Scheduled chemotherapy was discontinued over concerns of rebleeding and breast-conserving surgery was performed. When deciding on chemotherapy for older patients, attention should be paid to the various complications.

Abstract Image

Abstract Image

一名接受化疗的老年乳腺癌患者出现危及生命的血肿。
新辅助化疗在老年患者中的应用正在增加。然而,化疗应考虑到患者的医学合并症和化疗药物的毒性。在此,我们报告一例因咳嗽引起的腹壁血肿并发自发性上腹部下动脉损伤的70岁女性,她接受了新辅助化疗。腹部计算机断层扫描显示腹壁血肿伴活动性出血。然而,选择性栓塞右上腹部下动脉和右乳内动脉的血管造影术还是成功的。由于担心再次出血,停止了预定的化疗,并进行了保乳手术。在决定对老年患者进行化疗时,应注意各种并发症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Breast Cancer
Journal of Breast Cancer 医学-肿瘤学
CiteScore
3.80
自引率
4.20%
发文量
43
审稿时长
6-12 weeks
期刊介绍: The Journal of Breast Cancer (abbreviated as ''J Breast Cancer'') is the official journal of the Korean Breast Cancer Society, which is issued quarterly in the last day of March, June, September, and December each year since 1998. All the contents of the Journal is available online at the official journal website (http://ejbc.kr) under open access policy. The journal aims to provide a forum for the academic communication between medical doctors, basic science researchers, and health care professionals to be interested in breast cancer. To get this aim, we publish original investigations, review articles, brief communications including case reports, editorial opinions on the topics of importance to breast cancer, and welcome new research findings and epidemiological studies, especially when they contain a regional data to grab the international reader''s interest. Although the journal is mainly dealing with the issues of breast cancer, rare cases among benign breast diseases or evidence-based scientifically written articles providing useful information for clinical practice can be published as well.
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