Kinoshita Takayuki, Fukutomi Takashi, Iwamoto Eriko, Takasugi Miyuki, Akashi-Tanaka Sadako, Hasegawa Tadashi
Surgical Oncology Division, National Cancer Center Hospital, 5-1-1 Tsukiji, Chuo-ku, Tokyo 104-0045, Japan.
Breast. 2005 Aug;14(4):322-4. doi: 10.1016/j.breast.2004.12.003.
We report a case of intracystic papillary carcinoma (IPC) of the breast in a 71-year-old man in whom diagnosis was made by core needle biopsy. He came to our hospital complaining of a left subareolar mass. Imaging diagnosis was a cyst with an intracystic component. Since aspiration biopsy cytology was interpreted as a borderline lesion, the decision was made to proceed with core needle biopsy. Pathological examination of the specimen revealed the intracystic component to be non-invasive papillary carcinoma. So the patient underwent simple mastectomy without axillary node biopsy. From the final pathological result, no invasion was identified.
我们报告一例71岁男性乳腺囊内乳头状癌(IPC),通过粗针活检确诊。他因左侧乳晕下肿块前来我院就诊。影像学诊断为一个伴有囊内成分的囊肿。由于细针穿刺活检细胞学检查结果被判定为临界病变,因此决定进行粗针活检。标本的病理检查显示囊内成分是非浸润性乳头状癌。于是该患者接受了单纯乳房切除术,未进行腋窝淋巴结活检。根据最终病理结果,未发现浸润情况。