Shin Gi Won, Park Young Mi, Yoon Hye Kyoung, Jung Soo Jin, Kim Tae Hyun, Lee Anbok, Lee Seok Mo
Department of Radiology, Inje University Busan Paik Hospital, Inje University College of Medicine, Busan, Korea.
Department of Pathology, Inje University Busan Paik Hospital, Inje University College of Medicine, Busan, Korea.
J Breast Cancer. 2016 Dec;19(4):459-464. doi: 10.4048/jbc.2016.19.4.459. Epub 2016 Dec 23.
In patients with advanced breast cancer, most new calcifications detected on a mammogram after neoadjuvant chemotherapy are benign dystrophic calcifications, but this is not always observed. We present a patient with advanced breast cancer who had paradoxically increased malignant microcalcifications concomitant with primary tumor regression after undergoing neoadjuvant chemotherapy. After the neoadjuvant chemotherapy, the follow-up mammogram revealed that local, fine pleomorphic microcalcifications had markedly increased. Pathologically, these calcifications were ductal carcinoma . We concluded that, in patients with breast cancer undergoing neoadjuvant chemotherapy, newly developed microcalcifications on follow-up mammograms should be carefully evaluated, and any suspicious malignant microcalcifications should be included in surgical excision planning.
在晚期乳腺癌患者中,新辅助化疗后乳房X线摄影检测到的大多数新钙化灶是良性营养不良性钙化,但并非总是如此。我们报告了1例晚期乳腺癌患者,该患者在接受新辅助化疗后,原发肿瘤消退的同时恶性微钙化反而增多。新辅助化疗后,随访乳房X线摄影显示局部、细小的多形性微钙化显著增加。病理检查显示,这些钙化灶为导管癌。我们得出结论,对于接受新辅助化疗的乳腺癌患者,随访乳房X线摄影上新出现的微钙化灶应仔细评估,任何可疑的恶性微钙化灶都应纳入手术切除计划。