Gohda Yousuke, Sakata Eiko, Tsuchida Junko, Nakahara Asa, Hashidate Hideki, Shibuya Hiroyuki, Ogawa Rei, Higuchi Takeshi
Dept. of Surgery, Niigata City General Hospital.
Gan To Kagaku Ryoho. 2020 Dec;47(13):2391-2393.
We report the case of an elderly male patient with ductal carcinoma in situ(DCIS) of the nipple. A 93-year-old man visited the hospital because of pain and bleeding in and swelling of the right nipple. A benign tumor was suspected, but a definite diagnosis could not be made before surgery based on echo and cytology findings; thus, a malignant tumor could not be ruled out. He underwent partial mastectomy combined with the areola and nipple for diagnosis and treatment. Histologic examination confirmed the diagnosis of DCIS of the nipple. The surgical margin was negative. At 6 months after the surgery, he was doing well with no evidence of disease in the absence of postoperative adjuvant therapy. Thus, clinicians should consider breast carcinoma of the nipple as a differential diagnosis when an elderly man presents with swelling of the nipple.
我们报告了一例老年男性乳头原位导管癌(DCIS)病例。一名93岁男性因右乳头疼痛、出血和肿胀前来就诊。怀疑是良性肿瘤,但根据超声和细胞学检查结果,术前无法做出明确诊断;因此,不能排除恶性肿瘤。他接受了乳房部分切除术,同时切除乳晕和乳头以进行诊断和治疗。组织学检查确诊为乳头DCIS。手术切缘阴性。术后6个月,在未进行术后辅助治疗的情况下,他情况良好,无疾病迹象。因此,当老年男性出现乳头肿胀时,临床医生应考虑乳头癌作为鉴别诊断。