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原发性乳腺癌合并脊髓灰质炎患者:一例报告。

Primary breast cancer patient with poliomyelitis: A case report.

作者信息

Wang Xing-Miao, Cong Yi-Zi, Qiao Guang-Dong, Zhang Song, Wang Li-Juan

机构信息

Department of Breast Surgery, The Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai 264400, Shandong Province, China.

Department of Radiology, The Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai 264400, Shandong Province, China.

出版信息

World J Clin Cases. 2020 Dec 6;8(23):6190-6196. doi: 10.12998/wjcc.v8.i23.6190.

Abstract

BACKGROUND

Poliomyelitis is an acute infection caused by an enterovirus, which primarily infects the human gastrointestinal tract. In general, patients with polio have no association with the occurrence of cancer. The present case study presents a rare case of poliomyelitis combined with primary breast cancer.

CASE SUMMARY

A 61-year-old woman who was diagnosed with poliomyelitis at 5 years old and confirmed invasive breast cancer by core needle biopsy (CNB) after hospitalization. The patient received a modified radical mastectomy and four cycles of chemotherapy with the TC (docetaxel and cyclophosphamide) regimen. The patient was also prescribed endocrine therapy without radiotherapy after chemotherapy. The patient had no evidence of lymphedema in the right upper extremities and no evidence of either regression or distant metastasis at the 1-year follow-up.

CONCLUSION

The pectoral muscles of patients with polio are easily damaged in traumatic procedures, such as CNB, local anesthesia for tumor excision, and general anesthesia for surgery. A CNB, modified radical mastectomy, and four cycles of TC chemotherapy were successfully completed for the present case and the adverse reactions were found to be tolerable. This case may indicate the relationship between breast cancer and polio, and the examination and treatment methods used could be used as a guide for similar cases in the future.

摘要

背景

脊髓灰质炎是由肠道病毒引起的急性感染,主要感染人类胃肠道。一般来说,脊髓灰质炎患者与癌症的发生无关。本病例研究报告了一例罕见的脊髓灰质炎合并原发性乳腺癌病例。

病例摘要

一名61岁女性,5岁时被诊断为脊髓灰质炎,住院后经粗针穿刺活检(CNB)确诊为浸润性乳腺癌。患者接受了改良根治性乳房切除术,并采用TC(多西他赛和环磷酰胺)方案进行了四个周期的化疗。化疗后患者还接受了内分泌治疗,未进行放疗。在1年的随访中,患者右上肢没有淋巴水肿的迹象,也没有病情缓解或远处转移的迹象。

结论

脊髓灰质炎患者的胸肌在创伤性操作(如CNB、肿瘤切除局部麻醉和手术全身麻醉)中容易受损。本病例成功完成了CNB、改良根治性乳房切除术和四个周期的TC化疗,且发现不良反应可耐受。该病例可能提示了乳腺癌与脊髓灰质炎之间的关系,所采用的检查和治疗方法可为未来类似病例提供指导。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e111/7723693/caa2398ded0b/WJCC-8-6190-g001.jpg

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