Case report of surgically treated primary breast lymphoma in a very elderly patient.
Case report of surgically treated primary breast lymphoma in a very elderly patient.
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一位高龄患者接受手术治疗的原发性乳腺淋巴瘤病例报告。
DOI：
10.1097/md9.0000000000000038
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发表时间：
2020
期刊：
影响因子：
--
通讯作者：
Yoshimoto T.
中科院分区：
文献类型：
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作者：
Yoneto T;Hasumi K;Takahashi N;Takeda;Y;Yoshimoto T.
干预：于2019年9月行右侧乳腺癌根治术和腋窝淋巴结清扫术。结果：术后进展顺利，术后9天出院。经1年随访，未见复发。结论：尽管PBL的发病率很低，但仍应在其他乳腺癌的诊断中予以考虑。这是因为PBL是高度恶性的，经常扩散到全身淋巴结，其治疗方法与其他乳腺癌不同。因此，应该在手术前通过组织学分析明确诊断，无论是从针头活检还是开放活检中获得足够的组织。因此，手术切除是一个很好的选择，即使对于希望有更好生活质量的高龄患者也是如此。
Interventions:Right radical mastectomy and axillary lymph node dissection were performed in September 2019. Thereafter, the patient only received follow-up observation.Outcomes:Her postoperative progress was uneventful, and she was discharged 9 days post-surgery. She was followed-up for 1 year and there was no relapse.Conclusion:PBL should always be considered among other breast cancer diagnoses, although its incidence is very low. This is because PBL is highly malignant and frequently spreads to systemic lymph nodes, and its treatment differs from that of other breast cancers. Therefore, it should be definitively diagnosed preoperatively via histological analysis using adequate tissue obtained from either needle or open biopsies. Thus, surgical resection is a good choice, even for very elderly patients who wish to have a better quality of life.