Comprehensive Breast Cancer Center, Department of Medical Research, Changhua Christian Hospital, Changhua, Taiwan.
J Breast Cancer. 2011 Dec;14(4):340-4. doi: 10.4048/jbc.2011.14.4.340. Epub 2011 Dec 27.
Many ethnic Chinese patients seek second or adjuvant alternative therapies after breast cancer is diagnosed. Chinese herbs and acupuncture are the most popular methods in East Asia. We present a case of acupuncture manipulation-related cutaneous spread that no literature reported before. Post-acupuncture cutaneous spread was noted in a 54-year-old woman with left neck lymph node recurrence after complete surgery, chemotherapy and radiotherapy treatment. The results of chest computed tomography and skin biopsy showed the metastatic breast cancer in the dermis. Six courses of paclitaxel and gemcitabine followed by trastuzumab were given as therapeutic chemotherapy. The neck mass and cutaneous lesions subsided after 2 courses of chemotherapy. Direct puncture of a metastatic lymph node might increase the incidence of tumor spread on the skin. Therefore, despite the efficacy of complementary and alternative medicine, its safety and possible side effects should be more emphasized.
许多华裔患者在被诊断出患有乳腺癌后会寻求第二或辅助替代疗法。中草药和针灸是东亚最受欢迎的方法。我们报告了一例以前文献中没有报道过的与针灸操作相关的皮肤播散病例。在一位 54 岁女性中，在完全手术、化疗和放疗治疗后，左侧颈部淋巴结复发后出现了针灸后皮肤播散。胸部计算机断层扫描和皮肤活检的结果显示真皮中有转移性乳腺癌。给予紫杉醇和吉西他滨联合曲妥珠单抗 6 个疗程作为治疗性化疗。化疗 2 个疗程后，颈部肿块和皮肤病变消退。转移淋巴结的直接穿刺可能会增加皮肤肿瘤扩散的发生率。因此，尽管补充和替代医学有效，但应更加重视其安全性和可能的副作用。
