van Bogaert L J, Maldague P
Invest Cell Pathol. 1980 Oct-Dec;3(4):377-82.
A series of 200 consecutive breast cancers as studied retrospectively. All of the diagnoses were reviewed without knowledge of the initial response; special attention was given to the true scirrhous carcinoma of the female breast, a special form of infiltrating duct carcinoma. Seven cases, an incidence of 3.5 per cent, fulfilled the diagnostic criteria: dense and hyaline connective tissue stroma, evenly distributed throughout the tumour and at its borders and which compressed pleomorphic and scanty carcinoma cells, almost without duct formation. Ten cases, an incidence of 5.0 per cent, were initially diagnosed as scirrhous tumours but have been reclassified as pseudo-scirrhous cancers. The commonest error seems to be the confusion between true scirrhous mammary cancer and infiltrating lobular carcinoma.
对连续200例乳腺癌进行回顾性研究。所有诊断均在不知初始反应的情况下进行复查;特别关注女性乳腺的真性硬癌,这是浸润性导管癌的一种特殊形式。7例符合诊断标准,发病率为3.5%:致密透明结缔组织间质均匀分布于整个肿瘤及其边界,压迫多形性且稀少的癌细胞,几乎无导管形成。10例最初诊断为硬癌肿瘤,但已重新分类为假硬癌。最常见的错误似乎是真性乳腺硬癌与浸润性小叶癌之间的混淆。