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超声引导下粗针活检在诊断以卵巢恶性肿瘤伴多发转移表现的隐匿性乳腺癌(原发灶不明病例)中的应用

The Utility of Ultrasound-guided Tru-cut Biopsy in the Diagnosis of Occult Breast Carcinoma Presenting as Ovarian Malignancy with Multiple Metastases: A Case of Unknown Primary.

作者信息

Reforma Kareen N, Germar Maria Julieta V

机构信息

Division of Ultrasound, Department of Obstetrics and Gynecology, Philippine General Hospital, University of the Philippines Manila.

出版信息

Acta Med Philipp. 2023 Nov 24;57(11):92-96. doi: 10.47895/amp.vi0.5128. eCollection 2023.

DOI:10.47895/amp.vi0.5128
PMID:39484063
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11522353/
Abstract

This paper documents the utility of ultrasound-guided tru-cut biopsy in the diagnosis and subsequent management of a case of occult breast carcinoma presenting with multiple distant metastases in the absence of a primary breast lesion. She was initially diagnosed as primary ovarian malignancy with metastatic disease and subsequently underwent transvaginal ultrasound-guided tru-cut biopsy of the right ovarian mass. Histologic and immunohistochemical studies were consistent with a metastatic adenocarcinoma of breast origin. The patient underwent chemotherapy for primary breast carcinoma and has responded well.

摘要

本文记录了超声引导下切割活检在诊断及后续处理一例隐匿性乳腺癌病例中的应用,该病例表现为多处远处转移且无原发性乳腺病灶。患者最初被诊断为原发性卵巢恶性肿瘤伴转移疾病,随后接受了经阴道超声引导下对右侧卵巢肿块的切割活检。组织学和免疫组化研究结果与乳腺来源的转移性腺癌相符。该患者接受了原发性乳腺癌化疗,且反应良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49c4/11522353/6e784ffe83d1/AMP-57-11-5128-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49c4/11522353/5d288bbf32b9/AMP-57-11-5128-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49c4/11522353/6d3668fe70ee/AMP-57-11-5128-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49c4/11522353/e9a9cf40fd7e/AMP-57-11-5128-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49c4/11522353/81a8ec6a24ef/AMP-57-11-5128-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49c4/11522353/6e784ffe83d1/AMP-57-11-5128-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49c4/11522353/5d288bbf32b9/AMP-57-11-5128-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49c4/11522353/6d3668fe70ee/AMP-57-11-5128-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49c4/11522353/e9a9cf40fd7e/AMP-57-11-5128-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49c4/11522353/81a8ec6a24ef/AMP-57-11-5128-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/49c4/11522353/6e784ffe83d1/AMP-57-11-5128-g005.jpg

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The Utility of Ultrasound-guided Tru-cut Biopsy in the Diagnosis of Occult Breast Carcinoma Presenting as Ovarian Malignancy with Multiple Metastases: A Case of Unknown Primary.超声引导下粗针活检在诊断以卵巢恶性肿瘤伴多发转移表现的隐匿性乳腺癌(原发灶不明病例)中的应用
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本文引用的文献

1
Occult breast cancer: Where are we at?隐匿性乳腺癌:我们处于什么位置?
Breast. 2020 Dec;54:211-215. doi: 10.1016/j.breast.2020.10.012. Epub 2020 Oct 27.
2
Role of transvaginal ultrasound-guided biopsy in gynecology.经阴道超声引导下活检在妇科中的应用。
Int J Gynecol Cancer. 2020 Jan;30(1):128-132. doi: 10.1136/ijgc-2019-000734. Epub 2019 Oct 23.
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CUP Syndrome-Metastatic Malignancy with Unknown Primary Tumor.CUP 综合征——转移性恶性肿瘤伴不明原发灶。
Dtsch Arztebl Int. 2018 Mar 9;115(10):157-162. doi: 10.3238/arztebl.2018.0157.
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Transvaginal Ultrasound-Guided Core Needle Biopsy of Pelvic Masses.经阴道超声引导下盆腔肿物的粗针穿刺活检
J Ultrasound Med. 2018 Feb;37(2):453-461. doi: 10.1002/jum.14356. Epub 2017 Sep 8.
5
Comparison of patterns and prognosis among distant metastatic breast cancer patients by age groups: a SEER population-based analysis.比较不同年龄组远处转移性乳腺癌患者的模式和预后:一项基于 SEER 人群的分析。
Sci Rep. 2017 Aug 23;7(1):9254. doi: 10.1038/s41598-017-10166-8.
6
Transvaginal ultrasound (TVUS)-guided biopsy is safe and effective in diagnosing peritoneal carcinomatosis and recurrent pelvic malignancy.经阴道超声(TVUS)引导下活检在诊断腹膜癌和复发性盆腔恶性肿瘤方面安全有效。
Clin Radiol. 2016 Nov;71(11):1184-92. doi: 10.1016/j.crad.2016.06.119. Epub 2016 Aug 9.
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A unique presentation of occult primary breast cancer with a review of the literature.隐匿性原发性乳腺癌的一种独特表现及文献综述
Case Rep Oncol Med. 2015;2015:102963. doi: 10.1155/2015/102963. Epub 2015 Mar 18.
8
Diagnostic work-up of carcinoma of unknown primary: from immunohistochemistry to molecular profiling.不明原发癌的诊断工作:从免疫组织化学到分子分析。
Ann Oncol. 2012 Sep;23 Suppl 10:x271-7. doi: 10.1093/annonc/mds357.
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Cancers of unknown primary site: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up.原发部位不明的癌症:ESMO诊断、治疗及随访临床实践指南
Ann Oncol. 2011 Sep;22 Suppl 6:vi64-8. doi: 10.1093/annonc/mdr389.
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Hepatic malignancies: Correlation between sonographic findings and pathological features.肝脏恶性肿瘤:超声检查结果与病理特征之间的相关性
World J Radiol. 2010 Jul 28;2(7):249-56. doi: 10.4329/wjr.v2.i7.249.