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[1例乳腺癌皮肤转移患者接受局部放射治疗有效]

[A case of the breast cancer metastases to skin treated with local radiotherapy was effective].

作者信息

Ozeki Jun, Enomoto Katsuhisa, Sakurai Kenichi, Amano Sadao

机构信息

Division of Breast and Endocrine Surgery, Dept. of Surgery, Nihon University School of Medicine.

出版信息

Gan To Kagaku Ryoho. 2010 Nov;37(12):2763-5.

Abstract

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.

摘要

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。

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