[一例导管原位癌与小叶原位癌合并病例]

[A case of combined noninvasive ductal and lobular carcinoma].

作者信息

Nagashima Saki, Sakurai Kenichi, Suzuki Shuhei, Hara Yukiko, Waga Eiko, Iizuka Misato, Fuchinoue Tsukasa, Hirano Tomohisa, Enomoto Katsuhisa, Tani Mayumi, Masuda Shinobu, Amano Sadao, Koshinaga Tsugumichi

机构信息

Dept. of Surgery, Nihon University School of Medicine, Japan.

出版信息

Gan To Kagaku Ryoho. 2012 Nov;39(12):2033-5.

PMID:23267967

Abstract

We report a case of combined noninvasive ductal and lobular carcinoma. The patient was a 54-year-old woman with a breast tumor. The tumor was a palpable movable mass measuring 1 cm in diameter in the AC region of her breast. Mammography, ultrasonography, magnetic resonance imaging, and vacuum-assisted core-needle biopsy were performed. The histopathological diagnosis was intraductal papillary cystic lesion. However, there was also a ductal lesion. We performed lumpectomy, and the diagnosis was combined noninvasive ductal and lobular carcinoma. It was difficult to determine the range of carcinoma, and thus, we performed Bt+Ax. Combined noninvasive ductal and lobular carcinoma is rare. We should study additional cases and develop more adequate treatments.

摘要

我们报告一例导管原位癌与小叶原位癌合并存在的病例。患者为一名54岁患有乳腺肿瘤的女性。肿瘤是一个可触及的活动肿块，位于其乳腺AC区域，直径1厘米。进行了乳腺钼靶摄影、超声检查、磁共振成像以及真空辅助芯针活检。组织病理学诊断为导管内乳头状囊性病变。然而，同时也存在导管病变。我们实施了肿块切除术，诊断为导管原位癌与小叶原位癌合并存在。难以确定癌的范围，因此，我们进行了保乳手术加腋窝淋巴结清扫术。导管原位癌与小叶原位癌合并存在的情况较为罕见。我们应当研究更多病例并开发更合适的治疗方法。