Miyazawa Kotaro, Oeda Yoshio, Yoshioka Shigeru, Shiobara Masayuki, Wakatsuki Kazuo, Kataoka Masaaki, Arai Syuka, Tonooka Toru
Dept. of Surgery, Chiba Municipal Kaihin Hospital, Japan.
Gan To Kagaku Ryoho. 2012 Nov;39(12):2051-3.
We report a case of breast cancer hemorrhage locally controlled with zinc chloride paste (Mohs' paste), which is usually applied as a fixative for 24 h before micrographic surgery of cutaneous neoplasms. A 73-year-old woman was suffering from continuous bleeding from an advanced right breast cancer; this bleeding stopped after 15 min by hemostatic treatment with Mohs' paste. Long-term hemostasis and decreased exudates were maintained by weekly treatment. Although radical operation and chemotherapy were recommended, she rejected both without hormone therapy. The tumor size has been locally controlled for 2 years. This rapid treatment with Mohs' paste is effective for controlling bleeding and breast tumor exudates without adverse events, and improves the patients' quality of life.
我们报告了一例通过氯化锌糊剂（莫氏糊剂）实现局部控制的乳腺癌出血病例，该糊剂通常在皮肤肿瘤显微外科手术前作为固定剂使用24小时。一名73岁女性因晚期右乳腺癌持续出血；经莫氏糊剂止血治疗15分钟后出血停止。通过每周治疗维持了长期止血并减少了渗出物。尽管建议进行根治性手术和化疗，但她在未接受激素治疗的情况下均予以拒绝。肿瘤大小已局部控制两年。这种使用莫氏糊剂的快速治疗对于控制出血和乳腺肿瘤渗出物有效且无不良事件，并改善了患者的生活质量。
