Abe Sadahiko, Abe Noriko, Noda Masaru, Okano Maiko, Tachibana Kazunoshin, Yoshida Sayaka, Kiko Yuuichirou, Hashimoto Yuko, Hatakeyama Yuuichi, Rokkaku Yuuichi, Ohtake Tohru
Dept. of Breast Surgery, Fukushima Medical University School of Medicine.
Gan To Kagaku Ryoho. 2017 Nov;44(12):1095-1097.
We report a case of occult breast cancer. A 61-years-old woman underwent tumorectomy of right axillary mass. Pathological diagnosis was adenocarcinoma. Two years after, right axillary mass was discovered again. Wide local excision, axillary lymph node dissection and radiation therapy of the breast was performed. Pathological findings showed lymph node metastasis of breast cancer, or primary cancer of the axially tail of the breast. Ten months after second operation, she presented an axillary mass again. She underwent resection of the axillary tumor. The pathological findings showed lymph node metastasis of breast cancer. There was no evidence of primary tumor of the breast during the period. We suspected lymph node metastasis of occult breast cancer. Irradiation was administered to the right axilla, and she is receiving endocrine therapy.
我们报告一例隐匿性乳腺癌病例。一名61岁女性接受了右腋窝肿块肿瘤切除术。病理诊断为腺癌。两年后，右腋窝肿块再次被发现。进行了广泛局部切除、腋窝淋巴结清扫及乳房放疗。病理结果显示为乳腺癌淋巴结转移，或乳腺腋尾部原发性癌。第二次手术后十个月，她再次出现腋窝肿块。她接受了腋窝肿瘤切除术。病理结果显示为乳腺癌淋巴结转移。在此期间未发现乳腺原发性肿瘤的证据。我们怀疑为隐匿性乳腺癌淋巴结转移。对右腋窝进行了放疗，她正在接受内分泌治疗。
