Mori Tsuyoshi, Kitamura Mina, Tomida Kaori, Kawai Yuki, Sakai Sachiko, Kaida Sachiko, Miyake Toru, Kitamura Naomi, Akabori Hiroya, Yamaguchi Tsuyoshi, Sonoda Hiromichi, Shimizu Tomoharu, Naka Shigeyuki, Tani Masaji
Dept. of Surgery, Shiga University of Medical Science.
Gan To Kagaku Ryoho. 2016 Nov;43(12):2016-2018.
An 80's woman was diagnosed with eccrine porocarcinoma of the head in 2010.T he tumor was removed surgically but relapsed in the cervical and axillary lymph nodes 2 years later.The patient underwent surgery, and received systemic chemotherapy and radiation.Chest CT after treatment revealed an irregular mass and thickened skin in the left breast.Core needle biopsy specimens were used to diagnose metastasis of eccrine porocarcinoma.A wide excision with a 1 cm margin was performed under local anesthesia.After surgery, supraclavicular lymph node recurrence was detected.The patient received palliative care because there was no effective treatment available.Eccrine porocarcinoma is a rare malignant tumor of the intraepidermal sweat duct.Breast metastasis from malignant disease is also rare.To our knowledge, breast metastasis of eccrine porocarcinoma has not been reported.
一名80岁女性于2010年被诊断为头部小汗腺汗孔癌。肿瘤通过手术切除,但2年后在颈部和腋窝淋巴结复发。患者接受了手术,并接受了全身化疗和放疗。治疗后的胸部CT显示左乳房有不规则肿块和皮肤增厚。通过粗针活检标本诊断为小汗腺汗孔癌转移。在局部麻醉下进行了1厘米切缘的广泛切除。术后检测到锁骨上淋巴结复发。由于没有有效的治疗方法,患者接受了姑息治疗。小汗腺汗孔癌是一种罕见的表皮内汗腺导管恶性肿瘤。恶性疾病的乳腺转移也很罕见。据我们所知,尚未有小汗腺汗孔癌乳腺转移的报道。