Teke Zafer, Kabay Burhan, Akbulut Metin, Erdem Ergun
'Department of General Surgery, Pamukkale University, School of Medicine, Kinikli, Denizli, Turkey.
Tumori. 2008 Jul-Aug;94(4):577-83. doi: 10.1177/030089160809400422.
A 52-year-old woman presented with a palpable nodule in the right axilla. Physical examination revealed a 2.5 x 2.5 cm, nontender, firm, brownish, and peripherally hyperemic mass with overlying skin retraction on the right anterior axillary fold. Bilateral mammogram was negative. Ultrasonography of the right axillary region showed a 1.8 x 1.1 cm, poorly defined hypoechoic mass with irregular margins and posterior acoustic shadowing. Fine-needle aspiration biopsy of the mass revealed malignant epithelial cells. The patient underwent a wide local excision of the right axillary lesion with en bloc axillary lymph node dissection. Histopathological examination revealed an infiltrating ductal carcinoma. Here we report this case of carcinoma originating from aberrant breast tissue in the axilla. It is suggested that subcutaneous lesions of uncertain origin around the periphery of the breast should be suspected for breast carcinoma and treated appropriately.
一名52岁女性因右侧腋窝可触及结节就诊。体格检查发现右腋窝前皱襞处有一个2.5×2.5厘米、无压痛、质地坚硬、呈褐色且周边充血的肿块，肿块上方皮肤有回缩。双侧乳房X线摄影检查结果为阴性。右侧腋窝区域超声检查显示一个1.8×1.1厘米、边界不清的低回声肿块，边缘不规则且有后方声影。对该肿块进行细针穿刺活检，结果显示为恶性上皮细胞。患者接受了右侧腋窝病变广泛局部切除并整块切除腋窝淋巴结。组织病理学检查显示为浸润性导管癌。在此我们报告这例起源于腋窝异常乳腺组织的癌病例。建议对于乳房周边起源不明的皮下病变应怀疑为乳腺癌并进行适当治疗。
