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伴有佩吉特病的浸润性乳腺癌:坦桑尼亚北部一家三级医疗机构的罕见病例报告。

Invasive breast cancer with Paget's disease: A rare case report from a tertiary facility in Northern Tanzania.

作者信息

Lodhia Jay, Urassa Ellyagape, Mremi Alex

机构信息

Department of General Surgery, Kilimanjaro Christian Medical Centre, Moshi, Tanzania.

Faculty of Medicine, Kilimanjaro Christian Medical University College, Moshi, Tanzania.

出版信息

SAGE Open Med Case Rep. 2023 Jan 25;11:2050313X231151753. doi: 10.1177/2050313X231151753. eCollection 2023.

DOI:10.1177/2050313X231151753
PMID:36744056
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9893054/
Abstract

Paget's disease of the breast is a rare pathology resulting from abnormal proliferation of glandular epithelial cells in the nipple-areolar epidermis. The disease is named after James Paget, a pathologist and surgeon, who reported a relationship between a nipple rash and mammary gland tumors in 1874. Early diagnosis may be quite difficult. Histopathology can give the definitive diagnosis and the treatment depends upon the presence or absence of an associated breast lump. The treatment options include simple lumpectomy, mastectomy or radical mastectomy depending upon the lump (cancer) in the diseased breast. Herein, we present a case of Paget's disease of the breast presented with a long history of nipple eczema.

摘要

乳腺佩吉特病是一种罕见的病理状况,由乳头乳晕表皮的腺上皮细胞异常增殖引起。该疾病以病理学家兼外科医生詹姆斯·佩吉特的名字命名,他在1874年报告了乳头皮疹与乳腺肿瘤之间的关联。早期诊断可能相当困难。组织病理学可给出明确诊断,治疗则取决于是否存在相关的乳腺肿块。治疗选择包括单纯乳房肿块切除术、乳房切除术或根治性乳房切除术,具体取决于患侧乳房的肿块(癌症)情况。在此,我们呈现一例伴有长期乳头湿疹病史的乳腺佩吉特病病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be67/9893054/846d66f592f8/10.1177_2050313X231151753-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be67/9893054/876cc56a56d2/10.1177_2050313X231151753-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be67/9893054/19e3695d946e/10.1177_2050313X231151753-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be67/9893054/846d66f592f8/10.1177_2050313X231151753-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be67/9893054/876cc56a56d2/10.1177_2050313X231151753-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be67/9893054/19e3695d946e/10.1177_2050313X231151753-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be67/9893054/846d66f592f8/10.1177_2050313X231151753-fig3.jpg

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引用本文的文献

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本文引用的文献

1
Paget disease of the breast: A national retrospective analysis of the US population.乳腺佩吉特病:美国人群的全国回顾性分析。
Breast Dis. 2020;39(3-4):119-126. doi: 10.3233/BD-200439.
2
Breast-Conserving Surgery in Patients With Mammary Paget's Disease.乳腺派杰病患者的保乳手术。
J Surg Res. 2019 Sep;241:178-187. doi: 10.1016/j.jss.2019.03.025. Epub 2019 Apr 24.
3
Practical consensus recommendatons for Paget's disease in breast cancer.乳腺癌中佩吉特病的实用共识建议。
South Asian J Cancer. 2018 Apr-Jun;7(2):83-86. doi: 10.4103/sajc.sajc_107_18.
4
Paget's Breast Disease: A Case Report and Review of the Literature.佩吉特乳腺病:一例病例报告及文献综述
Front Surg. 2017 Oct 23;4:51. doi: 10.3389/fsurg.2017.00051. eCollection 2017.
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Paget's Disease of the Breast: An Institutional Review and Surgical Management.乳腺佩吉特病:一项机构回顾与外科治疗
Am Surg. 2017 Mar 1;83(3):e96-98.
6
Challenges in Diagnosis and Management of Paget's Disease of the Breast-a Retrospective Study.乳腺佩吉特病诊断与管理中的挑战——一项回顾性研究
Indian J Surg. 2015 Dec;77(Suppl 3):1083-7. doi: 10.1007/s12262-014-1167-6. Epub 2014 Sep 18.
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Diagnosis and treatment of Paget's disease of the breast: an analysis of 72 cases.乳腺佩吉特病的诊断与治疗:72例病例分析
Int J Clin Exp Med. 2015 Oct 15;8(10):19616-20. eCollection 2015.
8
Modern Trends in the Surgical Management of Paget's Disease.佩吉特病外科治疗的现代趋势
Ann Surg Oncol. 2015 Oct;22(10):3308-16. doi: 10.1245/s10434-015-4664-3. Epub 2015 Jul 23.
9
Mammary and extramammary Paget's disease.乳腺及乳腺外佩吉特病。
An Bras Dermatol. 2015 Mar-Apr;90(2):225-31. doi: 10.1590/abd1806-4841.20153189.
10
Update on the surgical management of Paget's disease.佩吉特病手术治疗的最新进展
Gland Surg. 2013 Aug 1;2(3):137-42. doi: 10.3978/j.issn.2227-684X.2013.08.03.