Weber J, Tournemaine N, Audoin A F, Digabel-Chabay C
Service de Sénologie, Centre René Gauducheau, CRLCC Nantes.
J Gynecol Obstet Biol Reprod (Paris). 1988;17(5):635-40.
The authors report 5 cases of in situ intraductal breast carcinoma (IDC) revealed or complicated by a clinical inflammatory syndrome. These cases showed some common features with other IDCs, such as mammographic signs and histologic forms of epitheliamatous proliferation, but were also characterized by clinical inflammatory signs different from those of rapidly developing "inflammatory" cancer, frequent nipple discharge, frequent positive results in bacteriologic examinations of nipple discharge and the role of cytologic studies of discharge in determining a definite diagnosis of carcinoma. Some hypotheses as to etiology are also discussed.
作者报告了5例原位导管内乳腺癌(IDC),这些病例表现为临床炎症综合征或因临床炎症综合征而变得复杂。这些病例与其他IDC有一些共同特征,如乳房X线摄影征象和上皮样增生的组织学形式,但也具有与快速发展的“炎性”癌不同的临床炎症体征、频繁的乳头溢液、乳头溢液细菌学检查频繁呈阳性结果以及溢液细胞学研究在确定癌的明确诊断中的作用。文中还讨论了一些关于病因的假说。