Adachi Mio, Hara Masatake, Ishibashi Naoya, Sasaki Megumi, Tomii Chiharu, Ohshima Noriko, Koshiishi Haruya, Yoshimura Tetsunori
Dept. of Surgery, Tokyo Metropolitan Ohtsuka Hospital.
Gan To Kagaku Ryoho. 2020 Dec;47(13):2198-2200.
A female patient who was in her 50s visited our hospital complaining right breast tumor, 18 years after her right breast- conserving partial mastectomy with right axillary lymph nodes dissection. Ultrasonography revealed a right breast tumor and an enlarged lymph node at left axilla. Core needle biopsy(CNB)from the right breast tumor showed the recurrence of her breast cancer and fine-needle aspiration(FNA)from her left axillary lymph node showed Class Ⅴ. We concluded the recurrence of right breast cancer with left axillary metastasis. After neoadjuvant chemotherapy, she underwent right mastectomy and left axillary lymph node dissection. When the recurrence of residual breast is seen, the contralateral axillary lymph node might become a new sentinel lymph node.
一名50多岁的女性患者因右乳肿瘤前来我院就诊，她在接受右乳保留乳房部分切除术并清扫右腋窝淋巴结18年后出现了这种情况。超声检查发现右乳有肿瘤，左腋窝有肿大淋巴结。对右乳肿瘤进行的粗针活检（CNB）显示乳腺癌复发，对左腋窝淋巴结进行的细针穿刺抽吸活检（FNA）显示为Ⅴ级。我们得出结论，该患者为右乳腺癌复发并伴有左腋窝转移。新辅助化疗后，她接受了右乳房切除术和左腋窝淋巴结清扫术。当发现残留乳房复发时，对侧腋窝淋巴结可能会成为新的前哨淋巴结。
