Abstract
A 35-year-old woman was admitted to this hospital because of a mass in the left breast in April 1981. She had had a fever, cough and dyspnea which were relatively controlled by antibiotics prescribed by a previous doctor. Slight cough and dyspnea, however, were yet observed and lymphangitis carcinomatosa of the lung was suspected by a chest X-ray film. The diagnosis of breast cancer with lung metastasis was confirmed by an aspiration biopsy cytology of the breast mass and open lung biopsy. Simple mastectomy with external axillary dissection was performed. The combined chemoendocrine therapy using cyclophosphamide, adriamycin, tegafurl and antiestrogens was added postoperatively. She has been well without any symptoms such as respiratory distress during these 10 years, except an acceptable pain due to multiple bone metastasis. This is a rare case of long-term survival bearing a lymphagitis type lung metastasis from not only breast cancer but also any other malignancies.
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