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一名乳腺癌患者的放疗后硬斑病

Postirradiation morphea in a breast cancer patient.

作者信息

Dubner Steve, Bovi Joseph, White Julia, Susnik Barbara

机构信息

Department of Pathology, Medical College of Wisconsin, Milwaukee, Wisconsin 53226, USA.

出版信息

Breast J. 2006 Mar-Apr;12(2):173-6. doi: 10.1111/j.1075-122X.2006.00229.x.

DOI:10.1111/j.1075-122X.2006.00229.x
PMID:16509846
Abstract

We present the case of a 52-year-old woman who underwent lumpectomy and radiation therapy for breast carcinoma and 2 years later presented with changes limited to the breast radiation field including hyperpigmentation, retraction, and skin thickening. These clinical features, along with pathologic findings, were diagnostic of postirradiation morphea. It is important to be aware of this rare complication of radiation therapy because it clinically presents with symptoms mimicking malignancy and may be misinterpreted as recurrent carcinoma or even angiosarcoma.

摘要

我们报告了一例52岁女性病例,该患者因乳腺癌接受了乳房肿瘤切除术和放射治疗,2年后出现仅限于乳房放射野的变化,包括色素沉着、皮肤回缩和皮肤增厚。这些临床特征以及病理结果诊断为放射后硬斑病。认识到放射治疗的这种罕见并发症很重要,因为其临床症状类似恶性肿瘤,可能会被误诊为复发性癌甚至血管肉瘤。

相似文献

1
Postirradiation morphea in a breast cancer patient.一名乳腺癌患者的放疗后硬斑病
Breast J. 2006 Mar-Apr;12(2):173-6. doi: 10.1111/j.1075-122X.2006.00229.x.
2
Postirradiation morphea and subcutaneous polyarteritis nodosa: case report and literature review.放射后硬斑病和皮下结节性多动脉炎:病例报告及文献综述
Semin Arthritis Rheum. 2005 Apr;34(5):728-34. doi: 10.1016/j.semarthrit.2004.11.004.
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Irradiation-induced morphea: x-rays as triggers of autoimmunity.辐射诱导硬斑病:X 射线作为自身免疫的触发因素。
Dermatology. 2011;223(1):9-12. doi: 10.1159/000330324. Epub 2011 Aug 25.
4
Postirradiation morphea: an underrecognized complication of treatment for breast cancer.放疗后硬斑病:一种未被充分认识的乳腺癌治疗并发症。
Hum Pathol. 2008 Nov;39(11):1680-8. doi: 10.1016/j.humpath.2008.04.010. Epub 2008 Jul 25.
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Postradiation morphea.放射性硬斑病
J Rheumatol. 1998 Nov;25(11):2267-9.
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Synchronous angiosarcoma, melanoma and morphea of the breast skin 14 years after radiotherapy for mammary carcinoma.乳腺皮肤血管肉瘤、黑色素瘤和硬皮病同步发生,14 年前曾因乳腺癌接受放射治疗。
Acta Derm Venereol. 2010 May;90(3):283-6. doi: 10.2340/00015555-0841.
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Circumscribed scleroderma induced by postlumpectomy radiation therapy.保乳手术后放疗诱发的局限性硬皮病。
Cancer. 1991 Nov 15;68(10):2131-3. doi: 10.1002/1097-0142(19911115)68:10<2131::aid-cncr2820681007>3.0.co;2-y.
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Morphea of the breast. Two case reports and discussion of the literature.乳腺硬斑病。两例病例报告及文献讨论。
J Plast Reconstr Aesthet Surg. 2006;59(10):1114-7. doi: 10.1016/j.bjps.2006.01.018. Epub 2006 Mar 23.
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Postirradiation linear morphoea.放射性线性硬皮病。
Clin Exp Dermatol. 2010 Jun;35(4):e106-8. doi: 10.1111/j.1365-2230.2009.03717.x. Epub 2009 Oct 23.
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The feasibility of a second lumpectomy and breast brachytherapy for localized cancer in a breast previously treated with lumpectomy and radiation therapy for breast cancer.对于先前已接受过乳腺癌肿块切除术和放射治疗的乳房中的局限性癌症,进行二次肿块切除术和乳腺近距离放射治疗的可行性。
Brachytherapy. 2008 Jan-Mar;7(1):22-8. doi: 10.1016/j.brachy.2007.10.006.

引用本文的文献

1
Radiation-Induced Morphea of the Breast Treated With Wide Local Excision and Abdominal Free Flap Breast Reconstruction.采用广泛局部切除和腹部游离皮瓣乳房重建术治疗的放射性乳房硬斑病
Eplasty. 2023 Aug 21;23:e50. eCollection 2023.
2
Post-Irradiation Morphea of the Breast in a Patient with Subacute Cutaneous Lupus Erythematosus: Case Report and a Literature Review.亚急性皮肤型红斑狼疮患者乳房照射后硬斑病:病例报告及文献复习
Case Rep Dermatol. 2022 May 30;14(2):144-150. doi: 10.1159/000524514. eCollection 2022 May-Aug.
3
Radiation-induced morphea-a rare but severe late effect of adjuvant breast irradiation : Case report and review of the literature.
辐射性硬皮病——辅助性乳房照射的罕见但严重的晚期效应:病例报告及文献复习。
Strahlenther Onkol. 2018 Nov;194(11):1060-1065. doi: 10.1007/s00066-018-1336-9. Epub 2018 Jul 16.
4
Post-Irradiation Morphea: Case report and review of the literature.放射后硬斑病:病例报告及文献综述
J Dermatol Case Rep. 2012 Sep 28;6(3):73-7. doi: 10.3315/jdcr.2012.1106.
5
Localized morphea--a rare but significant secondary complication following breast cancer radiotherapy. Case report and review of the literature on radiation reaction among patients with scleroderma/morphea.局限性硬斑病——乳腺癌放疗后一种罕见但严重的继发性并发症。病例报告及关于硬皮病/硬斑病患者辐射反应的文献综述。
Strahlenther Onkol. 2009 Sep;185(9):603-7. doi: 10.1007/s00066-009-2051-3. Epub 2009 Sep 12.