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腋窝副乳腺原发性浸润性导管癌。

Primary invasive ductal carcinoma of axillary accessory breast.

作者信息

Nguyen Thi Hoa, El-Helou Etienne, Pop Catalin-Florin, Shall Ammar, Zaiter Manar, Naccour Jessica, Ho Xuan Dung, Nguyen Tran Thuc Huan, Nguyen Thi Minh Chi, Bui Thanh Tinh, Nguyen Van Cau, Hoang Huu

机构信息

Department of Breast and Gynecologic Cancer, Danang Oncology Hospital, Danang, Viet Nam.

Department of Surgical Oncology, Institut Jules Bordet, Brussels, Belgium.

出版信息

Int J Surg Case Rep. 2022 Sep;98:107597. doi: 10.1016/j.ijscr.2022.107597. Epub 2022 Sep 5.

DOI:10.1016/j.ijscr.2022.107597
PMID:36084562
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9482992/
Abstract

Primary accessory breast cancer is an extremely rare pathology, representing less than 1 % of all breast cancers, and it is found in more than 90 % of cases in the axilla. The diagnosis of accessory axillary breast cancer (AABC) is often late and at an advanced stage with an average delay of 40.5 months. Histological sampling and immunohistochemical results confirm the diagnosis. Most patients are diagnosed with stage II disease or higher, so it is considered to have a poor prognosis. There is no specific management for AABC; it follows the guidelines for orthotopic pectoral breast cancer. We therefore report the case of a 50-year-old woman diagnosed with grade II invasive ductal carcinoma found in accessory axillary breast, treated by wide local resection and sentinel lymph node dissection.

摘要

原发性副乳腺癌是一种极其罕见的病理类型,占所有乳腺癌的比例不到1%,且90%以上的病例发生在腋窝。腋窝副乳腺癌(AABC)的诊断通常较晚且处于晚期,平均延迟时间为40.5个月。组织学取样和免疫组化结果可确诊。大多数患者被诊断为II期或更高分期的疾病,因此其预后较差。AABC没有特定的治疗方法;遵循原位胸段乳腺癌的治疗指南。我们在此报告一例50岁女性,其腋窝副乳腺中发现II级浸润性导管癌,接受了局部广泛切除和前哨淋巴结清扫术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fa5/9482992/58e0e58be60f/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fa5/9482992/99063d9880cb/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fa5/9482992/62fe6a487567/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fa5/9482992/16a238a2711e/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fa5/9482992/58e0e58be60f/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fa5/9482992/99063d9880cb/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fa5/9482992/62fe6a487567/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fa5/9482992/16a238a2711e/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fa5/9482992/58e0e58be60f/gr4.jpg

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本文引用的文献

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Primary ectopic breast carcinoma in the axilla: A rare presentation and review of the literature.腋窝部位的原发性异位乳腺癌:一种罕见的表现,并对文献进行回顾。
Breast Dis. 2021;40(2):109-114. doi: 10.3233/BD-201027.
3
The Application of Fine Needle Aspiration Biopsy in the Diagnosis of Axillary Masses.
细针抽吸活检在腋窝肿块诊断中的应用。
Acta Cytol. 2021;65(3):213-219. doi: 10.1159/000513149. Epub 2021 Feb 3.
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The SCARE 2020 Guideline: Updating Consensus Surgical CAse REport (SCARE) Guidelines.SCARE 2020 指南:更新共识手术病例报告(SCARE)指南。
Int J Surg. 2020 Dec;84:226-230. doi: 10.1016/j.ijsu.2020.10.034. Epub 2020 Nov 9.
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Efficacy of Two-Step Surgery on Severely Protruding Axillary Accessory Breast: First-Step Mammary Gland Excision Followed by Second-Look Redundant Skin Excision.两步手术治疗重度突出腋前副乳的疗效:第一步切除乳腺,第二步再次切除多余皮肤。
Aesthetic Plast Surg. 2020 Jun;44(3):677-686. doi: 10.1007/s00266-020-01649-7. Epub 2020 Mar 4.
6
Review of axillary lesions, emphasising some distinctive imaging and pathology findings.腋窝病变综述,重点介绍一些独特的影像学和病理学发现。
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