Goyal Shikha, Puri Tarun, Julka Pramod K
Department of Radiotherapy, All India Institute of Medical Sciences, New Delhi, India.
Department of Radiotherapy, All India Institute of Medical Sciences, New Delhi, India.
J Egypt Natl Canc Inst. 2015 Mar;27(1):41-3. doi: 10.1016/j.jnci.2014.10.001. Epub 2014 Nov 1.
Surgery and irradiation for breast cancer may interfere with conventional pathways of spread, leading to bizarre patterns of dissemination through lymphatics or through hematogenous route. Lymphoscintigraphic studies may help identify nodal involvement. Other possible reasons could be occurrence of primary breast cancer in accessory breast tissue retained in the vulva following involution of milk line. We describe a case of triple negative breast cancer, who developed contralateral breast cancer during treatment. Three years later, she developed isolated inguinal nodal metastases, which responded to local radiotherapy and chemotherapy. However, the patient relapsed after 2 years and could not be salvaged thereafter.
乳腺癌的手术和放疗可能会干扰传统的扩散途径，导致通过淋巴管或血行途径出现异常的播散模式。淋巴闪烁造影研究可能有助于识别淋巴结受累情况。其他可能的原因可能是在乳线退化后，外阴部残留的副乳腺组织中发生原发性乳腺癌。我们报告一例三阴性乳腺癌患者，在治疗期间发生了对侧乳腺癌。三年后，她出现了孤立的腹股沟淋巴结转移，对局部放疗和化疗有反应。然而，患者在2年后复发，此后无法挽救。
