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右乳腺化生性癌并同时存在巨大卵巢畸胎瘤:一例报告

Metaplastic carcinoma of the right breast and simultaneous giant ovarian teratoma: a case report.

作者信息

Li Shuang, Wei Qing-Zhu

机构信息

Department of General Surgery, Southern Medical University, Guangzhou, People's Republic of China.

出版信息

Chin J Cancer. 2012 Oct;31(10):500-4. doi: 10.5732/cjc.012.10118. Epub 2012 Aug 2.

Abstract

We describe here a female patient who presented with a breast mass and giant abdominal mass. Fine needle aspiration cytology of the breast mass and histological examination after modified radical mastectomy confirmed metaplastic carcinoma of the breast. The epithelial components were formed by infiltrating ductal carcinoma with poor differentiation, and the sarcomatous components were formed by fibrosarcoma and osteosarcoma. Histological examination of the abdominal mass confirmed ovarian teratoma. The patient underwent modified radical mastectomy of the right breast and laparoscopic excision of the abdominal mass in the lower right quadrant. Having underwent six courses of chemotherapy, the patient is now in her tenth month after surgery and under follow-up, and she has no relapsed disease. These two diseases have never seen in one patient before. The case we report here provides some new data for research and clinical experience and it may also provide a new insight into the relationship between metaplastic breast carcinoma and ovarian teratoma.

摘要

我们在此描述一位出现乳腺肿块和巨大腹部肿块的女性患者。乳腺肿块的细针穿刺细胞学检查以及改良根治性乳房切除术后的组织学检查证实为乳腺化生性癌。上皮成分由浸润性低分化导管癌构成,肉瘤成分由纤维肉瘤和骨肉瘤构成。腹部肿块的组织学检查证实为卵巢畸胎瘤。患者接受了右乳改良根治性乳房切除术以及右下象限腹部肿块的腹腔镜切除术。在接受六个疗程的化疗后,患者目前处于术后第十个月且正在接受随访,未出现疾病复发。此前从未在同一患者身上见过这两种疾病。我们在此报告的病例为研究和临床经验提供了一些新数据,也可能为化生性乳腺癌与卵巢畸胎瘤之间的关系提供新的见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1ffd/3777448/49421cbf6b50/cjc-31-10-500-g001.jpg

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