一名孕妇可触及右乳肿块。

Palpable right breast mass in a pregnant woman.

作者信息

Katz Matthew S, Schapira Lidia, Harisinghani Mukesh G, Hughes Kevin S

机构信息

Massachusetts General Hospital and Harvard Medical School, Boston, MA 02114, USA.

出版信息

Nat Clin Pract Oncol. 2005 Apr;2(4):218-21; quiz 1 p following 222. doi: 10.1038/ncponc0135.

DOI:10.1038/ncponc0135

PMID:16264937

Abstract

BACKGROUND

A 29-year-old female presented with a palpable right breast mass at a 12-week prenatal visit. She had no family history of breast or ovarian cancer. Ultrasound revealed a 3 cm lobulated mass, which was confirmed to be malignant by a core biopsy. Postmastectomy pathology at 15 weeks' gestation demonstrated this mass to be a stage T2N0M0 high-grade invasive ductal carcinoma with 0/20 axillary nodes involved. A staging CT scan postpartum showed an enlarged right internal mammary lymph node, confirmed by MRI as suspicious for malignancy.

INVESTIGATIONS

Physical examination, breast ultrasound, core biopsy, mastectomy, CT scan, MRI.

DIAGNOSIS

Pregnancy-associated breast carcinoma.

MANAGEMENT

Mastectomy, chemotherapy and radiotherapy.

摘要

背景

一名29岁女性在孕12周产前检查时发现右侧乳房可触及肿块。她没有乳腺癌或卵巢癌家族史。超声检查发现一个3厘米的分叶状肿块，经粗针活检确诊为恶性。孕15周时乳房切除术后病理显示该肿块为T2N0M0期高级别浸润性导管癌，腋窝淋巴结0/20受累。产后分期CT扫描显示右侧乳内淋巴结肿大，MRI证实怀疑为恶性。