A worsening dyspnea

Abstract

A 52-year-old postmenopausal woman presented because of a progressive dyspnea, non-productive cough and right side chest pain that worsened with deep inspiration. She had a history of breast carcinoma 2 years earlier and subsequent left segmental mastectomy, axillary dissection, adjuvant chemotherapy and local radiotherapy (RT). One year later she underwent to a T-8 balloon vertebroplasty and local RT for symptomatic bone metastases. Afterward, her disease remained well controlled by treatment with trastuzumab and systemic chemotherapy. Physical examination revealed shortness of breath and …