Bech Anneke P, Mattijssen E J M Vera
Ziekenhuis Rijnstate, afd. Interne geneeskunde, Arnhem, the Netherlands.
Ned Tijdschr Geneeskd. 2011;155(50):A4077.
A 76-year-old woman presented with dyspnea. She had received breast conserving therapy for cancer in her left breast 26 years earlier. During physical examination a redness of the skin on the left side of the torso and neck, as well as disappearance of the left breast and shift of the left nipple was noted. This proved to be a metastatic recurrence of the breast cancer. Despite over 20 years of follow-up consisting of mammography, the complete shrinkage of the breast as an expression of locally recurrent disease was missed because no physical examination was performed. This underlines the importance of physical examination in addition to mammography in the follow-up of breast cancer patients.
一名76岁女性因呼吸困难前来就诊。26年前她曾接受过左乳癌保乳治疗。体格检查时发现躯干和颈部左侧皮肤发红，左侧乳房消失且乳头移位。这被证实为乳腺癌转移复发。尽管进行了20多年包括乳房X线摄影在内的随访，但由于未进行体格检查，作为局部复发性疾病表现的乳房完全萎缩被漏诊。这凸显了在乳腺癌患者随访中除乳房X线摄影外体格检查的重要性。
