Yamamoto T, Iriyama K, Araki T
Second Department of Surgery, Mie University School of Medicine, Tsu, Japan.
Surg Today. 1997;27(7):669-71. doi: 10.1007/BF02388229.
We report herein the case of a 68-year-old man diagnosed with inflammatory breast cancer. The patient presented following the rapid onset of redness and swelling over the left anterior chest wall. On examination, the left chest wall and left axilla were extensively hard, and the left upper limb was swollen. Ultrasonography and computed tomography (CT) scanning disclosed a mass in the left breast, about 2 cm in diameter with an unclear margin, and swelling of the major and minor pectoral muscles. Needle biopsy of the breast mass confirmed invasive lobular carcinoma. As a radical operation was considered contraindicated, systemic and intraarterial chemotherapy using 5-fluorouracil (5-FU) and Adriamycin (ADR) were performed. Nevertheless, the patient died of carcinomatous pleurisy 6 months after the initial onset of the disease.
我们在此报告一例68岁被诊断为炎性乳腺癌的男性患者。该患者因左前胸壁迅速出现红肿而就诊。检查发现,左胸壁和左腋窝广泛变硬,左上肢肿胀。超声检查和计算机断层扫描(CT)显示左乳有一肿块,直径约2厘米,边界不清,胸大肌和胸小肌肿胀。乳腺肿块针吸活检确诊为浸润性小叶癌。由于考虑根治性手术为禁忌,遂采用5-氟尿嘧啶(5-FU)和阿霉素(ADR)进行全身及动脉内化疗。然而,患者在疾病初发6个月后死于癌性胸膜炎。