Ueno Soichiro, Nakakuma Takashi, Aramaki Nao, Shiozawa Kunihisa, Iizuka Mika, Kurita Atsushi, Miyauchi Kunihiro, Sengoku Norihiko, Kuranami Masaru
Department of Surgery, Ageo Central General Hospital.
Gan To Kagaku Ryoho. 2009 Nov;36(12):2471-3.
A 46-year-old woman was diagnosed with complaints of bilateral breast tumor with massive ascites retention. The patient was examined as scirrhous carcinoma by lacteal gland inspection and dysplastic cell by ascites cytotechnology. We diagnosed her case to be bilateral breast cancer with peritonitis carcinomatosa, lymph node metastases and bony metastases. In addition to that, gastric metastasis was diagnosed by the result of widespread irregular gastric mucosa, which was inspected through upper gastrointestinal endoscope. The patient was treated with S-1 and paclitaxel and has achieved a remarkable response. The patient's tumor, gastric metastasis, and ascites were disappeared almost completely.
一名46岁女性因双侧乳腺肿瘤伴大量腹水潴留而就诊。通过乳腺检查诊断为硬癌，通过腹水细胞技术诊断为发育异常细胞。我们诊断该病例为双侧乳腺癌伴癌性腹膜炎、淋巴结转移和骨转移。此外，通过上消化道内窥镜检查发现广泛不规则的胃黏膜，诊断为胃转移。该患者接受了S-1和紫杉醇治疗，取得了显著疗效。患者的肿瘤、胃转移灶和腹水几乎完全消失。
