caa a22 4500 47575378X CHVBK 20180406123532.0 cr unu---uuuuu 170329e20000501xx s 000 0 eng 10.1007/s005950050628 doi (NATIONALLICENCE)springer-10.1007/s005950050628 Bilateral recurrent pneumothorax complicating chemotherapy for pulmonary metastatic breast ductal carcinoma: Report of a case [Elektronische Daten] [Alessandro Bini, Maurizio Zompatori, Luca Ansaloni, Manuele Grazia, Franco Stella, Ruggero Bazzocchi] Secondary spontaneous pneumothorax (SSP) is a rare complication of chemotherapy for pulmonary metastases and to the best of our knowledge, only 28 cases have been described, most of which occurred in patients with osteosarcoma or germ cell tumors. We present herein the case of a 56-year-old woman in whom bilateral and recurrent SSP was caused by the rupture of pulmonary lacunae induced by chemotherapy, given for bilateral lung metastases secondary to breast carcinoma. Our experience of this case led us to conclude that: patients with pulmonary metastases may develop bilateral and/or recurrent pneumothoraces following chemotherapy; computed tomography scan is essential for defining the cause of SSP; and closed chest tube drainage remains the therapy of choice, while chemical pleurodesis may also be used to prevent recidivant SSP. Springer-Verlag, 2000 chemotherapy nationallicence secondary spontaneous pneumothorax nationallicence pulmonary lacunae nationallicence pulmonary metastasis nationallicence breast cancer nationallicence Bini Alessandro Department of Surgical and Anaesthesiological Sciences, Section of General and Thoracic Surgery, University of Bologna, Sant'Orsola-Malpighi Hospital, Via Massarenti 9, 40138, Bologna, Italy aut Zompatori Maurizio "Pneumonefro” Department of Radiology, Sant'Orsola-Malpighi Hospital, Via Massarenti 9, 40138, Bologna, Italy aut Ansaloni Luca Department of Surgical and Anaesthesiological Sciences, Section of General and Thoracic Surgery, University of Bologna, Sant'Orsola-Malpighi Hospital, Via Massarenti 9, 40138, Bologna, Italy aut Grazia Manuele Department of Surgical and Anaesthesiological Sciences, Section of General and Thoracic Surgery, University of Bologna, Sant'Orsola-Malpighi Hospital, Via Massarenti 9, 40138, Bologna, Italy aut Stella Franco Department of Surgical and Anaesthesiological Sciences, Section of General and Thoracic Surgery, University of Bologna, Sant'Orsola-Malpighi Hospital, Via Massarenti 9, 40138, Bologna, Italy aut Bazzocchi Ruggero Department of Surgical and Anaesthesiological Sciences, Section of General and Thoracic Surgery, University of Bologna, Sant'Orsola-Malpighi Hospital, Via Massarenti 9, 40138, Bologna, Italy aut Surgery Today Springer-Verlag 30/5(2000-05-01), 469-472 0941-1291 30:5<469 2000 30 595 https://doi.org/10.1007/s005950050628 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s005950050628 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Bini Alessandro Department of Surgical and Anaesthesiological Sciences, Section of General and Thoracic Surgery, University of Bologna, Sant'Orsola-Malpighi Hospital, Via Massarenti 9, 40138, Bologna, Italy aut NATIONALLICENCE 700 1- Zompatori Maurizio "Pneumonefro” Department of Radiology, Sant'Orsola-Malpighi Hospital, Via Massarenti 9, 40138, Bologna, Italy aut NATIONALLICENCE 700 1- Ansaloni Luca Department of Surgical and Anaesthesiological Sciences, Section of General and Thoracic Surgery, University of Bologna, Sant'Orsola-Malpighi Hospital, Via Massarenti 9, 40138, Bologna, Italy aut NATIONALLICENCE 700 1- Grazia Manuele Department of Surgical and Anaesthesiological Sciences, Section of General and Thoracic Surgery, University of Bologna, Sant'Orsola-Malpighi Hospital, Via Massarenti 9, 40138, Bologna, Italy aut NATIONALLICENCE 700 1- Stella Franco Department of Surgical and Anaesthesiological Sciences, Section of General and Thoracic Surgery, University of Bologna, Sant'Orsola-Malpighi Hospital, Via Massarenti 9, 40138, Bologna, Italy aut NATIONALLICENCE 700 1- Bazzocchi Ruggero Department of Surgical and Anaesthesiological Sciences, Section of General and Thoracic Surgery, University of Bologna, Sant'Orsola-Malpighi Hospital, Via Massarenti 9, 40138, Bologna, Italy aut NATIONALLICENCE 773 0- Surgery Today Springer-Verlag 30/5(2000-05-01), 469-472 0941-1291 30:5<469 2000 30 595 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer