Takatsuka Y, Nakayama H, Kurata A, Inaji H, Tokunaga K, Kawahara T
Dept. of Surgery, Osaka National Hospital.
Gan No Rinsho. 1987 Oct;33(12):1475-80.
A rare case of a non-invasive carcinoma of the breast is reported. A 39-year-old woman was admitted to our hospital complaining of large breast lump (11.5 X 8.0 cm) and an abnormal nipple discharge. Mammography revealed widely dispersed microcalcifications and an echographic diagnosis indicated a fibrocystic disease. A cytologic examination of the nipple discharge showed malignant cells with a CEA level that was very high. The patient was treated with a standard radical mastectomy. Specimen mammography showed microcalcification in almost all sections. The histological examination, using serial sections, was seen to be consistent with a non-invasive ductal carcinoma. No lymph node or remote distant metastasis was found.
报告了一例罕见的乳腺非浸润性癌。一名39岁女性因乳房肿块较大(11.5×8.0厘米)及乳头异常溢液入院。乳房X线摄影显示广泛散在的微钙化,超声诊断提示纤维囊性疾病。乳头溢液的细胞学检查发现恶性细胞,癌胚抗原(CEA)水平非常高。患者接受了标准根治性乳房切除术。标本乳房X线摄影显示几乎所有切片均有微钙化。连续切片的组织学检查显示与非浸润性导管癌一致。未发现淋巴结或远处转移。