Ozeki Jun, Enomoto Katsuhisa, Sakurai Kenichi, Amano Sadao
Division of Breast and Endocrine Surgery, Dept. of Surgery, Nihon University School of Medicine.
Gan To Kagaku Ryoho. 2010 Nov;37(12):2763-5.
A case was a 78-year-old woman. We detected a precordial tumor by palpation in January 2007. The patient left it untreated for a while. She then came to see us as the tumor had grown enlarged. In local findings, the precordium midline showed a non-elastic tumor of 2 cm in size. Biopsy revealed a possibility of breast cancer metastases. Mammography and the breast echography did not show any anomalies. Histopathology specific immune-staining was CK7, CEA positive, ER (+), PgR (+). The diagnosis was latent breast metastasis. Radiotherapy was performed and irradiated a total dose of 66 Gy. Our judgment was cCR in the post irradiation. After 2 years from the radiotherapy, there was no recurrence or metastases confirmed until today. In a breast cancer treatment, radiotherapy will be performed for the purpose of local control. However, we report here our experience with an unusual cCR judgment of more than 1 year for reference.
病例为一名78岁女性。2007年1月我们通过触诊发现心前区有一肿瘤。患者未予治疗一段时间。后来因肿瘤增大前来就诊。局部检查发现,心前区中线有一个2厘米大小的无弹性肿瘤。活检显示有乳腺癌转移的可能。乳房X线摄影和乳房超声检查未显示任何异常。组织病理学特异性免疫染色显示CK7、CEA阳性,ER(+),PgR(+)。诊断为隐匿性乳腺转移。进行了放疗,总剂量为66 Gy。放疗后我们判断为临床完全缓解(cCR)。放疗后2年,直至今日未证实有复发或转移。在乳腺癌治疗中,放疗是为了局部控制。然而,我们在此报告我们超过1年的不寻常cCR判断经验以供参考。