Tomita Masaki, Matsuzaki Yasunori, Edagawa Masao, Maeda Masayuki, Shimizu Tetsuya, Hara Masaki, Yamamoto Atsushi, Onitsuka Toshio
Department of Surgery II, Miyazaki Medical College, Kihara 5200, Kiyotake, Miyazaki 889-1692, Japan.
Breast Cancer. 2002;9(1):82-5. doi: 10.1007/BF02967552.
A 61-year-old woman was admitted to our hospital with an abnormal shadow on chest roentgenogram. She had undergone a radical mastectomy for right breast cancer 18 years previously. Since pleural dissemination was noted at the time of thoracotomy, only tumor biopsy was performed. Although a decisive diagnosis could not be obtained histologically, the tumor resembled breast cancer and the estrogen receptor status was positive. She underwent post-operative chemotherapy and tamoxifen treatment. After tamoxifen treatment, complete response was observed. The patient is now doing well without recurrence about 10 years after thoracotomy. Based on the clinical course, we obtained both a definitive diagnosis and complete remission.
一名61岁女性因胸部X线片出现异常阴影入住我院。她18年前因右乳腺癌接受了根治性乳房切除术。由于开胸手术时发现有胸膜播散，仅进行了肿瘤活检。虽然组织学上未能获得明确诊断，但肿瘤类似乳腺癌且雌激素受体状态为阳性。她接受了术后化疗和他莫昔芬治疗。他莫昔芬治疗后，观察到完全缓解。患者在开胸手术后约10年目前情况良好，无复发。基于临床病程，我们获得了明确诊断和完全缓解。
