Evans D M, Guyton D P
Department of Surgery, Akron General Medical Center, Ohio 44307, USA.
J Surg Oncol. 1995 Jul;59(3):190-5. doi: 10.1002/jso.2930590311.
A review of the world literature regarding carcinoma of ectopic breast tissue along with the addition of one case is reported. A total of 90 cases of carcinoma of ectopic breast tissue were found, 64 of which occurred in the axilla. The combined survival beyond the 4-year post-treatment period was 9.4%. No survival advantage was found for radical or modified radical mastectomy over that of local excision combined with axillary dissection or radiation. The addition of radiation therapy to either type of mastectomy provided no additional benefit. The correct preoperative diagnosis was rarely made. Outcome was reported in 42 cases; 28 survived longer than 1 year, with 12 recurrences at the time of reporting, and 6 were alive with no evidence of disease at 4 years or longer. Improved prognosis requires diagnostic suspicion and early biopsy of unidentified lesions of the axilla or embryonic milk line.
本文报告了一篇关于异位乳腺组织癌的世界文献综述，并新增了一例病例。共发现90例异位乳腺组织癌，其中64例发生在腋窝。治疗后4年以上的联合生存率为9.4%。根治性或改良根治性乳房切除术与局部切除联合腋窝清扫或放疗相比，未发现生存优势。两种乳房切除术加放疗均未带来额外益处。术前很少能做出正确诊断。报告了42例的结果；28例存活超过1年，报告时12例复发，6例在4年或更长时间无疾病证据存活。改善预后需要对腋窝或胚胎乳线不明病变进行诊断性怀疑和早期活检。
