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两例乳腺癌合并同步原发性肝内胆管癌/混合性肝癌病例报告。

Two case reports of breast cancer combined with synchronous primary intrahepatic cholangiocarcinoma/mixed liver cancer.

机构信息

Department of Breast Surgery, The Affiliated Zhuzhou Hospital of Xiang Ya School of Medicine Central South University, Zhuzhou, China.

Department of Anesthesiology, The Affiliated Zhuzhou Hospital of Xiang Ya School of Medicine Central South University, Zhuzhou, China.

出版信息

Medicine (Baltimore). 2024 Nov 29;103(48):e40653. doi: 10.1097/MD.0000000000040653.

Abstract

RATIONALE

This case report discusses multiple primary malignant tumors, which refer to the occurrence of 2 or more different histological types of malignant tumors simultaneously or successively in the same individual.

PATIENT CONCERNS

We present 2 female patients who were admitted to the hospital due to a "left breast mass" and were found to have multiple solid masses in the liver upon imaging.

DIAGNOSES

Postoperative pathology revealed that one patient had breast invasive ductal carcinoma was complicated with primary intrahepatic cholangiocarcinoma and mixed hepatocellular carcinoma with intrahepatic cholangiocarcinoma.

INTERVENTIONS

Both patients underwent extensive resection of the lesion.

OUTCOMES

Regular postoperative checkups and follow-ups have been conducted, and both patient's current conditions are stable.

LESSONS

The treatment approach adopted in this case report may serve as a favorable reference for the management of similar cases. However, further extensive biological studies are still needed to investigate the biological mechanisms of multiple primary malignant tumors and to discover specific therapeutic approaches to achieve more clinical benefits for patients.

摘要

背景

本病例报告讨论了多原发恶性肿瘤,是指同一个体同时或先后发生 2 种或 2 种以上不同组织学类型的恶性肿瘤。

病例介绍

我们报告了 2 例女性患者,因“左乳肿块”入院,影像学检查发现肝脏内有多个实性肿块。

诊断

术后病理显示,1 例患者患有乳腺浸润性导管癌,同时合并原发性肝内胆管细胞癌和混合性肝细胞癌伴肝内胆管细胞癌。

干预

2 例患者均行广泛病灶切除术。

结果

定期进行术后检查和随访,目前 2 例患者情况稳定。

结论

本病例报告中采用的治疗方法可为类似病例的治疗提供有利参考。然而,仍需要进一步广泛的生物学研究来探讨多原发恶性肿瘤的生物学机制,并发现特定的治疗方法,以为患者带来更多的临床获益。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3cf0/11608741/65303ad47bc0/medi-103-e40653-g001.jpg

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