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Weekly Chest CasesArchive of Old Cases

Case No : 565 Date 2008-08-25

  • Courtesy of Jung Im Jung, MD. / St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Korea.
  • Age/Sex 37 / F
  • Chief ComplaintGeneralized edema
  • Figure 1
  • Figure 2

6 Months ago

Diagnosis With Brief Discussion

Diagnosis
Adriamycin Induced Cardiac Toxicity
Radiologic Findings
Initial chest radiograph showed no significant abnormality.
Follow up chest radiograph after 6 months shows cadiomegaly and absence of right breast shadow. Chemoport insertion state.
Echocardiography demonstrated decreased left ventricular ejection fraction (20%) with global hypokinesia.
The patient underwent right mastectomy due to breast cancer and treated adjuvant chemotherapy including adriamycin for 6 cycles.
Brief Review
Please refer to
Case 254,
References
Keywords
Mediastinum, Drug Complication,

No. of Applicants : 84

▶ Correct Answer : 23/84,  27.4%
  • - mediciti hospitals , India paramjyothi gongati
  • - China Medical University,Taiwan,R.O.C. , Taiwan Jun Jun Yeh
  • - Gimpo Woori Hospital , Korea (South) Son Youl Lee
  • - CHRU Lille , France Benjamin DAMAREY
  • - The Armed Forces HamPyeong Hospital , Korea (South) Bae Geun Oh
  • - SMG-SNU Boramae Hospital , Korea (South) Daehee Han
  • - Soonchunhyang University Cheonan Hospital , Korea (South) Park Sang Hyun
  • - wonju christial hospital , Korea (South) daekeon Lim
  • - IRSA La Rochelle France , France Denis Chabassiere
  • - All India Institute of Medical Sciences , India puneet kochar
  • - Kwang Myung Sungae Hospital , Korea (South) Jiyong Rhee
  • - IRSA LA ROCHELLE FRANCE , France jean-luc BIGOT
  • - Yonsei University college of medicine Severance hospital , Korea (South) Hua Sun Kim
  • - Apollo Hospital, Ahmedabad. , India Sandip Shah.
  • - UCLA , United States Fereidoun Abtin
  • - Depatment of Radiology, Yongsan Hospital, College of Medicine, Chung-Ang University , Korea (South) Jae Seung Seo
  • - Seoul National University Hospital , Korea (South) Kwang Nam Jin
  • - Deptt of Radiodiagnosis & Imaging, PGIMER chandigarh , India Ram Galwa
  • - chp st martin , France Mariotte benoit
  • - Armed Forces Chun-Cheon Hospital , Korea (South) ChaeHun Lim
  • - clinique de SAVOIE , France, Metropolitan gay-depassier philippe
  • - Hanmaeum Hospital , Korea (South) Kwon Kim
  • - Soonchunhyang university Bucheon hospital , Korea (South) Minhee Lee
▶ Correct Answer as Differential Diagnosis : 1/84,  1.2%
  • - McGill University Health Center , Canada Alexandre Semionov
▶ Semi-Correct Answer : 45/84,  53.6%
  • - OSWAL CANCER HOSPITAL , India LOVKESH MITTAL
  • - National Taiwan University Hospital , Taiwan Chin-Chung Shu
  • - McGill University Health Centre , Canada Amr Ajlan
  • - Father Muller Medical College , Mangalore , India nabil mahmood
  • - KMC,Manipal , India satish maddukuri
  • - HOSPITAL SOTIRIA , Greece AIKATERINI DELAVERI
  • - hospital Sao Paulo , Brazil israel missrie
  • - OSWAL CANCER HOSP. , India VISHAL GARG
  • - IRIS, CARE HOSPITAL , India dipal shah
  • - Marien Hospital, Hamm , Germany Davis Chiramel
  • - soonchunhyang university hospital, Bucheon , Korea (South) Park jisang
  • - arora neuro centre,ludhiana , India devendra kumar
  • - EKH-Berlin , Germany Holger Hartmann
  • - MD PG Resident, PIMS,LONI, MAHARASHTRA, INDIA , India Sushant Bhadane
  • - Pt. Fosdick Med Ctr , United States Julee Takeshita
  • - Vitalife Clinics , Pune , India. , India Rahul Deshmukh
  • - Soonchunhyang university hospital bucheon , Korea (South) Hyelin Kim
  • - Private Clinic , Bahamas Trupti Dabholkar
  • - Kasturba Medical College Manipal , India Paresh Desai
  • - CHRU lille , France manuel toledano
  • - Seoul National University Hospital , Korea (South) Sang Min Lee
  • - Cheongshim international medical center , Korea (South) Hae Jum Yang
  • - Hangang Sacred Heart Hospital , Korea (South) Eil Seong Lee
  • - Ondokuz Mayis University , Turkey Cetin Celenk
  • - NONE , India REKHA GUPTA
  • - K.J.SOMAIYA HOSPITAL AND RESEARCH CENTRE. , India vipul jethwa
  • - Al-Hada Armed Forced Hospital , Saudi Arabia Ahmed FathiEid
  • - Dongguk University International Hospital , Korea (South) Hee Seok Choi
  • - Retd. Prof Thoracic Surgery B.J.MEDIDCAL COLLEGE Punr India , India Bankim Amin
  • - Medical College Chest Hospital,Thrissur,Kerala , India Raveendran TK
  • - nirman hitech diagnostic centre , India minal seth
  • - Homs National Hospital , Syria Rami Abou Zalaf
  • - Changhua Christian Hospital , Taiwan Chia-Fu Tsai
  • - Trakya University School of Medicine , Turkey Umut Ugur
  • - BOLLINENI HOSPITAL NELLORE , India jignesh dubal
  • - Vital Imaging Centre, Mumbai,India , India Ganesh Agrawal
  • - All India Institute of medical sciences , India Justin Moses
  • - Hospital Sotiria, Athens, Greece , Greece Vasilios Tzilas
  • - CHU Grenoble , France Fabrice Bing
  • - radiology department ANNECY , France gilles GENIN
  • - Trakya Univercity School of Medicine , Turkey Armagan Sarac
  • - All India Institute of Medical Sciences , India Ashish Gupta
  • - Kasturba Medical Collage , India NAVEEN KULKARNI
  • - PITTWATER RADIOLOGY , Australia Julie Arora
  • - PITTWATER RADIOLOGY , Australia Saurabh Khandelwal
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