Cervinka V, St'astný K, Havlícek K, Nechvátal L
Ustav zdravotnických studií Univerzity Pardubice.
Rozhl Chir. 2006 Feb;85(2):71-3.
Carcinoma of the breast is the most commonly diagnosed women cancer. Less than 1% of the patients diagnosed with breast cancer initially present with axillary metastases as their only clinical manifestation. CASUISTIC: We report case of 58 years old woman with occult breast carcinoma in which extensive axillary node metastasis was the first manifestation.
Breast cancer presenting with axillary metastases and no clinical apparent primary tumour in the breast is an uncommon form of stage II or IV of this disease. Ultrasonography, mammography, MRI and excisional biopsy are indicated for detecting occult primary tumours. The appropriate treatment of the breast after an axillary presentation of occult breast carcinoma continues to be a controversial issue. Complete axillary lymph node dissection is indicated in all patients. As a local treatment of the breast is indicated irradiation of the breast or total mastectomy or subcutaneus mastectomy with application of the breast prothesis.
Axillary metastasis is rare first sign of breast cancer. Diagnostics of the occult breast carcinoma is difficult. The treatment of occult breast carcinoma is still controversial.
乳腺癌是女性中最常被诊断出的癌症。最初被诊断为乳腺癌的患者中，不到1%仅以腋窝转移作为唯一临床表现。病例报告：我们报告一例58岁隐匿性乳腺癌女性病例，其中广泛腋窝淋巴结转移是首发表现。
以腋窝转移且乳腺无临床明显原发肿瘤表现的乳腺癌是该疾病不常见的II期或IV期形式。超声、乳腺X线摄影、磁共振成像和切除活检用于检测隐匿性原发肿瘤。隐匿性乳腺癌出现腋窝表现后乳腺的恰当治疗仍是一个有争议的问题。所有患者均需行腋窝淋巴结清扫术。作为乳腺的局部治疗，可选择乳腺放疗、全乳切除术或皮下乳腺切除术并植入乳房假体。
腋窝转移是乳腺癌罕见的首发体征。隐匿性乳腺癌的诊断困难。隐匿性乳腺癌的治疗仍存在争议。
