Ashikari R, Rosen P P, Urban J A, Senoo T
Ann Surg. 1976 Apr;183(4):415-7. doi: 10.1097/00000658-197604000-00015.
Experience with breast cancer presenting as an axillary mass in 42 patients has been reviewed according to initial clinical findings, treatment and survival. In the absence of an obvious inflammatory lesion, an axillary node may prove to be the first sign of breast cancer. It has been demonstrated that such a node should be biopsied and if positive for adenocarcinoma, a radical mastectomy performed presuming other primary sites have been ruled out. The survival rate after surgery in this group of patients is better than in those who present with a palpable breast mass and have axillary metastases.
我们根据42例以腋窝肿块为表现的乳腺癌患者的初始临床检查结果、治疗方法及生存情况进行了回顾性分析。在没有明显炎性病变的情况下,腋窝淋巴结可能是乳腺癌的首发体征。已有研究表明,应对此类淋巴结进行活检,如果腺癌检测呈阳性,且已排除其他原发部位,则应行根治性乳房切除术。该组患者术后的生存率高于那些以可触及乳房肿块并伴有腋窝转移的患者。