Vasile D, Palade R, Voiculescu D
Clinica Chirurgie I, Spitalul Universitar Bucureşti.
Chirurgia (Bucur). 1998 Jul-Aug;93(4):247-53.
In 20 years we registered seven observations of breast cancer presenting as an axillary mass (BCAM), meaning 0.9% out of the global breast cancer series (767 cases). All the cases were females. The main clinical sign was only the presence of axillary lymph nodes. Diagnosis was precised by the pathological examination of the excised nodes (six observations) or needle aspiration of the axillary lymph nodes. Mammography showed tumors less than one centimeter in three out of the seven cases. As for the stadialisation, we had two cases in the II-nd stage, four patients in the III-rd stage and one in IV-th. All the patients were operated on. There were four simple mastectomies anti three Patey radical modified mastectomies. Postoperative chemotherapy and radiotherapy were performed to all the patients. Only two of the seven patients survived five years after surgery.
在20年里，我们记录了7例以腋窝肿块为表现的乳腺癌（BCAM），占全球乳腺癌病例系列（767例）的0.9%。所有病例均为女性。主要临床症状仅为腋窝淋巴结的存在。通过切除淋巴结的病理检查（6例）或腋窝淋巴结针吸活检明确诊断。7例中有3例乳房X线摄影显示肿瘤小于1厘米。至于分期，我们有2例处于第二阶段，4例处于第三阶段，1例处于第四阶段。所有患者均接受了手术。有4例单纯乳房切除术和3例改良根治性乳房切除术。所有患者均接受了术后化疗和放疗。7例患者中只有2例术后存活了5年。
