What caused dyspnea in patient with breast Ca?

Chief Complaint A 59 yof presents with dyspnea & chest tightness. History She has h/o breast cancer and undergone surgery and chemotherapy. Vitals BP: 120/80 mmhg, respiratory rate: 13/min, Pulse: 76 bpm, oxygen saturation of 96% at room air. Examination Physical examination was normal. Investigations CT shows b/l hilar and mediastinal lymphadenopathy Breast examination & mammogram was normal. Treatment Advise the management of the case.

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Lymphadenopathy is likely secondaries in a c/o CA breast Needs to confirm by ct guided biopsy Since lesions are in hilar region and bilateral must be compressing bronchus or carina which may be causing dysponea and tightness in chest

Thanx dr Kute Ankush
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Dyspnea in case of ca breast may be due to A. Secondary deposit in lung parenchyma causing dyspnea B. Secondaries in hilar lymph node causing compressio of the trachea causing obstruction of air entry causing dyspnea C. Metastais in lung causing secondary pleural effusion causing dyspnea CR guided biopsy to confirm

Thanks dr Shivraj Agarwal.
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B/L HILAR AND MEDIASTINAL LYMPHADENOPATHY SEEMS AS SECONDARIES TO CA- BREAST.. TO BE EVALUATED PROPERLY... FOR METASTASIS PLEURAL EFFUSION PULMONARY EMBOLISM COVID-19

Thanks Dr. Vipin Bihari Jain
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Evaluate for pulmonary embolism secondaries, pleural effusion , viral infection etc.

? BREAST CANCER..WITH.. LUNGS..SECONDARIES AND.. ASSOCIATED COMPLICATIONS..

Tnx Dr Gyanendranath Tripathy
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Treatment of secondaries in lymph nodes after confirming in biopsy

Thanks Dr. Gyanendra Tripathi , Dr. Kute Ankush , Dr. Sandeep Ghodeker
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