Aghajanzadeh Manouchehr, Torabi Hossein, Najafi Behrouz, Talebi Pedram, Shirini Kasra
Department of Thoracic Surgery, Guilan University of Medical Sciences, Rasht, Iran.
Department of General Surgery, Poursina Medical and Educational Center, Guilan University of Medical Sciences, Rasht, Iran.
SAGE Open Med Case Rep. 2023 Feb 12;11:2050313X231154996. doi: 10.1177/2050313X231154996. eCollection 2023.
The most common type of cancer among the female population is breast cancer. The most common site for the occurrence of breast cancer is the upper outer quadrant; the upper inner quadrant is the second site, and both the lower outer and the lower inner quadrants are in the third place. This problem is rarely seen in the central portion. Intermammary metastasis due to breast cancer is an infrequent finding. This article presents a 62-year-old lady who presented to the surgical ward with intermammary swelling that appeared suddenly 3 months ago. Ultrasound examination showed a hypoechoic micro-lobulated mass with internal vascularity on the chest wall. Although core needle biopsy suspected invasive ductal carcinoma, both right and left axillary lymph nodes were normal and free. The patient was consulted by an oncologist who recommended radiotherapy before surgery and chemotherapy before and after surgery. This study aims to report and discuss a rare case of intermammary cancer with the origin of breast cells without breast and axillary lymph node involvement. Although the intermammary region is an extremely rare location where breast cancer could occur, its management strategy is the same as other breast cancers.
女性人群中最常见的癌症类型是乳腺癌。乳腺癌最常发生的部位是外上象限；内上象限是第二个常见部位，外下象限和内下象限并列第三。这种情况在乳腺中央部分很少见。乳腺癌引起的乳腺间转移是一种罕见的发现。本文介绍了一位62岁的女士，她3个月前突然出现乳腺间肿胀，被送到外科病房。超声检查显示胸壁有一个低回声微叶状肿块，内部有血管。尽管粗针活检怀疑为浸润性导管癌，但双侧腋窝淋巴结均正常且无转移。肿瘤学家会诊了该患者，建议在手术前进行放疗，并在手术前后进行化疗。本研究旨在报告和讨论一例罕见的乳腺间癌病例，其起源于乳腺细胞，但未累及乳腺和腋窝淋巴结。尽管乳腺间区域是乳腺癌可能发生的极其罕见的部位，但其治疗策略与其他乳腺癌相同。
