Occult breast cancer presenting axillary nodal metastasis: A case report
Occult breast cancer presenting axillary nodal metastasis: A case report
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DOI：
10.1093/jjco/hyd047
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发表时间：
2000-04-01
影响因子：
2.4
通讯作者：
Okabe, H
中科院分区：
文献类型：
--
作者：
Abe, H;Naitoh, H;Okabe, H
我们报告一例42岁的女性隐匿性乳腺癌表现为腋窝淋巴结转移。她主诉右侧腋窝淋巴结肿大，但乳腺未见肿块。淋巴结活检，组织学检查显示转移性导管癌伴乳头状管状形成，淋巴结雌激素受体阳性。乳房x光检查、超声检查及全身检查均未发现乳腺外原发病变。所有这些数据表明，隐匿性乳腺癌和改良根治性乳房切除术。切除标本的病理检查未发现原发性乳腺癌病变。患者已接受激素治疗，术后5年无疾病迹象。
We report a case of a 42-year-old female with occult breast cancer presenting axillary nodal metastasis. She complained of a swelling of the right axillary lymph node, bur no breast mass was palpable. Biopsy of the lymph node was performed and histological examination showed a metastatic ductal carcinoma with papillotubular formation, Estrogen receptor of the lymph node was positive. No pathological findings were obtained by mammography and ultrasonography and systemic examinations revealed no extramammary primary lesion. All these data suggested an occult carcinoma of the breast and modified radical mastectomy was performed. Pathological findings of the removed specimen failed to find the primary breast cancer lesion. The patient has been treated with hormonal therapy and she is well without evidence of disease 5 years after surgery.