一名年轻成人原发性乳腺平滑肌肉瘤伴肺转移：病例报告及文献复习
Primary breast leiomyosarcoma with metastases to the lung in a young adult: Case report and literature review.
作者信息
Amberger Melissa, Park Timothy, Petersen Bert, Baltazar Gerard A
机构信息
Division of General Surgery, Department of Surgery, SBH Health System, 4422 Third Avenue, Bronx, NY 10457 USA; School of Medicine, City University of New York, 160 Convent Avenue, New York, NY 10031 USA.
Division of General Surgery, Department of Surgery, SBH Health System, 4422 Third Avenue, Bronx, NY 10457 USA; College of Osteopathic Medicine, New York Institute of Technology, PO Box 8000, Old Westbury, NY 11568 USA.
出版信息
Int J Surg Case Rep. 2018;47:34-37. doi: 10.1016/j.ijscr.2018.04.010. Epub 2018 Apr 16.
INTRODUCTION
Primary leiomyosarcomas of the breast are extremely rare. Because of this rarity, only a small number of studies have been published about the disease; diagnosis, treatment, and prognosis are not well-described. Our work has been reported in line with the SCARE criteria.
PRESENTATION OF CASE
We present a 20-year-old female with primary breast leiomyosarcoma who despite mastectomy, developed lung metastases three years later.
DISCUSSION
We discuss the rarity of breast leiomyosarcoma and risk of metastatic disease even with treatment. We review the literature and provide an outline of available data to shed light on the best strategies to manage this aggressive disease.
CONCLUSION
Physicians and surgeons treating breast leiomyosarcoma must be vigilant of potential lung metastases in order to optimize short- and long-term oncologic outcomes.
引言
原发性乳腺平滑肌肉瘤极为罕见。由于其罕见性，关于该疾病的研究仅有少数发表；其诊断、治疗和预后尚无详尽描述。我们的工作已按照SCARE标准进行报告。
病例介绍
我们报告一例20岁原发性乳腺平滑肌肉瘤女性患者，尽管接受了乳房切除术，但三年后仍发生了肺转移。
讨论
我们讨论了乳腺平滑肌肉瘤的罕见性以及即使接受治疗仍存在转移疾病的风险。我们回顾了文献并提供了现有数据的概述，以阐明管理这种侵袭性疾病的最佳策略。
结论
治疗乳腺平滑肌肉瘤的内科医生和外科医生必须警惕潜在的肺转移，以优化短期和长期肿瘤学结局。
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