浸润性导管癌伴全梗死及坏死1例报告及文献复习。

Q4 Medicine
Makoto Nagahara, Koji Tezuka
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引用次数: 0

摘要

一名71岁妇女因入院前一天开始的左乳房疼痛和瘙痒来我院就诊。触诊时,我们发现了一个2.0厘米的结节,表明左侧乳房中心有一个弹性和坚硬的肿瘤。乳房x光检查显示左乳房中央象限有一个椭圆形小分叶状肿块。超声示左侧乳头12点钟方向见1.5×1.3厘米低回声病灶。核心穿刺活检显示浸润性导管癌。因此,我们切除了左乳房。组织学上,肿瘤肿块表现为完全坏死,在切除的乳房边缘的乳腺旁淋巴结中检测到活的癌细胞。因此,肿瘤被诊断为全梗死和坏死的实性管状癌。在此,我们报告一例罕见的乳腺癌合并梗死和坏死的病例。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Invasive Ductal Carcinoma with Total Infarction and Necrosis-Case Report and Literature Review].

A 71-year-old woman visited our hospital with pain and itching in her left breast which had commenced the day before admission. On palpation, we detected a 2.0 cm nodule, indicative of an elastic and hard tumor located centrally in the left breast. Mammography revealed an oval, microlobulated mass in the central quadrant of the left breast. Ultrasonography indicated a 1.5×1.3 cm hypoechoic lesion at the 12 o'clock position near the left nipple. Core needle biopsy revealed an invasive ductal carcinoma. Therefore, we mastectomized the left breast. Histologically, the tumor mass exhibited total necrosis, with viable carcinoma cells detected in a paramammary lymph node at the resected breast edge. Consequently, the tumor was diagnosed as a solid tubular carcinoma with total infarction and necrosis. Here, we present a rare case of breast cancer associated with infarction and necrosis.

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