A CASE OF ADVANCED BREAST CANCER WITH SEVERE FUNNEL CHEST AND OPERATED AORTIC DISSECTION (TYPE I)

A 40-year-old single woman being suffered from severe funnel chest from her childhood had Bentall's operation for aortic dissection (DeBakey type I) 2 years before. After that the patient had been administered spironolactone, a diuretic, orally for 2 years. This time, the patient underwent standard radical masatectomy for right breast cancer. Histological examination revealed a papillotubular carcinoma with extensive lymphatic invasion and metastasis, and it was classified into stage III (t2, n2, M0). The patient is doing well 2 years after mastectomy. Two interesting problems in this case were: how to make the skin incision for the breast cancer complicated with severe funnel chest; and that the long-term administration of spironolactone might somewhat contribute to the occurrence of breast cancer etiologically because of its histological features.