Hamartoma pulmonar como diagn車stico diferencial de met芍stase de carcinoma de mama: relato de caso

作者：Silva; Vanessa Assis da; Kataguiri; Paula; Trufelli; Damila Cristina; Matos; Leandro Luongo de; Neves Pereira; Joo Carlos das; Campos; Jose Ribas Milanez de

来源：Jornal Brasileiro de Pneumologia, 2007.

DOI：10.1590/S1806-37132007000600019

• hamartoma
• breast neoplasms
• lung neoplasms
• neoplasm metastasis.

we present the case of a 60-year-old female patient who had been in menopause for 14 years and presented a pulmonary nodule on chest x-ray diagnosed in the postoperative follow-up evaluation of breast cancer. the patient had a history of mastectomy and ipsilateral axillary lymphadenectomy for invasive ductal breast carcinoma, as well as of hormone therapy, chemotherapy, and adjuvant radiotherapy. after thoracoscopic nodulectomy, the frozen section analysis revealed a pulmonary hamartoma. recent studies show that 75% of patients who undergo surgery for pulmonary nodules after a curative mastectomy for breast cancer present lung metastases, 11.5% present primary lung cancer, and 13.5% present benign lesions, including hamartoma.