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男性患者的黏液性癌:男性乳腺癌的诊断与管理

Mucinous carcinoma in a male patient: Diagnosis and management of breast cancer in male patients.

作者信息

Ahmed Umer, Wagner Sean, Jordan Sheryl

机构信息

University of North Carolina School of Medicine, 321 South Columbia Street, Chapel Hill, NC, USA 27599.

出版信息

Radiol Case Rep. 2021 Nov 8;17(1):124-128. doi: 10.1016/j.radcr.2021.10.015. eCollection 2022 Jan.

DOI:10.1016/j.radcr.2021.10.015
PMID:34815818
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8591396/
Abstract

Male breast cancer is a rare but serious condition that impacts an increasing number of men each year. Due to low incidence rate, there is a current lack of established diagnostic and management practices. Here, we provide a review of the current epidemiology, classification, diagnosis, and treatment of male breast cancer. We present a rare case of mucinous breast cancer in a 74-year-old male patient detected after he presented with a retroareolar mass. The patient underwent mammography, targeted ultrasound, and ultrasound-guided core needle biopsy, which established the diagnosis. He was treated surgically with left mastectomy and sentinel lymph node biopsy with axillary lymph node dissection, followed by post-adjuvant tamoxifen and has remained free of recurrence and metastasis since.

摘要

男性乳腺癌是一种罕见但严重的疾病,每年影响着越来越多的男性。由于发病率低,目前缺乏成熟的诊断和管理方法。在此,我们对男性乳腺癌的当前流行病学、分类、诊断和治疗进行综述。我们报告一例罕见的黏液性乳腺癌病例,该病例发生在一名74岁男性患者身上,他因乳晕后肿块就诊后被发现。患者接受了乳腺钼靶检查、靶向超声检查和超声引导下的粗针穿刺活检,从而确诊。他接受了左侧乳房切除术和前哨淋巴结活检及腋窝淋巴结清扫术的手术治疗,随后进行辅助性他莫昔芬治疗,此后一直未复发和转移。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6432/8591396/b4967783cd82/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6432/8591396/bfca216a93d9/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6432/8591396/b4967783cd82/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6432/8591396/bfca216a93d9/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6432/8591396/b4967783cd82/gr2.jpg

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本文引用的文献

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Mucinous versus medullary breast carcinoma: mammography, ultrasound, and MRI findings.黏液性乳腺癌与髓样乳腺癌:乳腺摄影、超声和 MRI 表现。
Clin Radiol. 2020 Jul;75(7):483-496. doi: 10.1016/j.crad.2019.12.024. Epub 2020 Feb 11.
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Breast cancer risk in transgender people receiving hormone treatment: nationwide cohort study in the Netherlands.接受激素治疗的跨性别者的乳腺癌风险:荷兰全国队列研究。
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Male Breast Cancer.男性乳腺癌
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Male Breast Cancer.男性乳腺癌
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Male breast cancer in BRCA1 and BRCA2 mutation carriers: pathology data from the Consortium of Investigators of Modifiers of BRCA1/2.携带BRCA1和BRCA2基因突变的男性乳腺癌:来自BRCA1/2修饰因子研究联盟的病理数据
Breast Cancer Res. 2016 Feb 9;18(1):15. doi: 10.1186/s13058-016-0671-y.
7
The role of sentinel node biopsy in male breast cancer.前哨淋巴结活检在男性乳腺癌中的作用。
Breast Cancer. 2016 Jan;23(1):85-91. doi: 10.1007/s12282-014-0535-1. Epub 2014 May 3.
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Male breast disease: pictorial review with radiologic-pathologic correlation.男性乳腺疾病:影像学-病理学表现相关性综述
Radiographics. 2013 May;33(3):763-79. doi: 10.1148/rg.333125137.
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Adjuvant therapy with tamoxifen compared to aromatase inhibitors for 257 male breast cancer patients.他莫昔芬辅助治疗与芳香化酶抑制剂用于 257 例男性乳腺癌患者的比较。
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