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乳腺小细胞癌：原发性还是转移性？一项诊断挑战。

Small Cell Carcinoma in the Mammary Gland: Primary or Metastatic? A Diagnostic Challenge.

作者信息

Mehdi Ghazala, Ansari Hena A, Sherwani Rana K, Bhargava Rakesh

机构信息

Departments of Pathology, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India.

Departments of Tuberculosis and Chest Diseases, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh, India.

出版信息

World J Oncol. 2010 Apr;1(2):97-100. doi: 10.4021/wjon2010.04.207w. Epub 2010 Apr 30.

DOI:10.4021/wjon2010.04.207w
PMID:29147188
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5649912/
Abstract

Metastatic tumours to the mammary gland are relatively uncommon as compared to primary breast malignancies. Such lesions can pose diagnostic dilemmas for both the clinician and the pathologist because it is often difficult to categorize the tumour as primary or secondary and to determine the site of origin. We present the case of a thirty year old female who was diagnosed with small cell neuro-endocrine carcinoma in the mammary gland, probably of pulmonary origin. The diagnostic challenges posed by such a case are highlighted.

摘要

与原发性乳腺恶性肿瘤相比，乳腺转移性肿瘤相对少见。此类病变会给临床医生和病理学家带来诊断难题，因为往往难以将肿瘤归类为原发性或继发性，也难以确定其起源部位。我们报告一例30岁女性病例，该患者被诊断为乳腺小细胞神经内分泌癌，可能起源于肺部。文中强调了此类病例所带来的诊断挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ee9/5649912/6a6ec0d44de3/wjon-01-097-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ee9/5649912/64701c85adb5/wjon-01-097-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ee9/5649912/6a049e6aba5f/wjon-01-097-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ee9/5649912/6a6ec0d44de3/wjon-01-097-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ee9/5649912/64701c85adb5/wjon-01-097-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ee9/5649912/6a049e6aba5f/wjon-01-097-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ee9/5649912/6a6ec0d44de3/wjon-01-097-g003.jpg

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本文引用的文献

1
Breast metastasis from small cell lung carcinoma.小细胞肺癌的乳腺转移
J Zhejiang Univ Sci B. 2008 Jan;9(1):39-43. doi: 10.1631/jzus.B072258.
2
Metastases to the breast from extramammary malignancies: a clinicopathologic study of 12 cases.乳腺外恶性肿瘤转移至乳腺：12例临床病理研究
Pol J Pathol. 2006;57(3):161-5.
3
[A case of small cell lung cancer with an initial symptom of breast metastasis].以乳腺转移为首发症状的小细胞肺癌1例
Nihon Kokyuki Gakkai Zasshi. 2006 Jan;44(1):39-42.
4
Small cell neuroendocrine carcinoma of the breast: a report of three cases and review of the literature.乳腺小细胞神经内分泌癌：三例报告并文献复习
J Clin Pathol. 2005 Jul;58(7):775-8. doi: 10.1136/jcp.2004.020792.
5
Fine-needle aspiration cytology of extramammary neoplasms metastatic to the breast.乳腺外肿瘤转移至乳腺的细针穿刺细胞学检查
Diagn Cytopathol. 2005 Apr;32(4):193-7. doi: 10.1002/dc.20198.
6
Metastases to the breast from small-cell lung cancer: MR findings. A case report.小细胞肺癌转移至乳腺：磁共振成像表现。病例报告。
Acta Radiol. 2003 Sep;44(5):485-8. doi: 10.1080/j.1600-0455.2003.00114.x.
7
Metastases to the breast revisited: radiological-histopathological correlation.再探乳腺转移瘤：放射学与组织病理学的相关性
Clin Radiol. 2003 Jul;58(7):524-31. doi: 10.1016/s0009-9260(03)00068-0.
8
Small-cell neuroendocrine carcinoma displays unique profiles of tumor-suppressor gene loss in relationship to the primary site of formation.小细胞神经内分泌癌在与原发形成部位的关系上表现出独特的肿瘤抑制基因缺失模式。
Hum Pathol. 2002 Sep;33(9):927-32. doi: 10.1053/hupa.2002.126875.
9
Secondary neoplasms of the breast: a survey of the 20th Century.乳腺继发性肿瘤：20世纪的一项调查
Cancer. 2001 Nov 1;92(9):2259-66. doi: 10.1002/1097-0142(20011101)92:9<2259::aid-cncr1571>3.0.co;2-o.
10
Metastasis to the breast from extramammary malignancies: a report of four cases and a review of literature.乳腺外恶性肿瘤转移至乳腺：4例报告及文献复习
Eur Radiol. 2001;11(9):1659-65. doi: 10.1007/s003300000807.