A case of breast cancer in the axillary tail of Spence - enhanced magnetic resonance imaging and positron emission tomography for diagnostic differentiation and preoperative treatment decision.

A case of breast cancer in the axillary tail of Spence - enhanced magnetic resonance imaging and positron emission tomography for diagnostic differentiation and preoperative treatment decision.
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DOI:
10.1186/1477-7819-11-217
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发表时间:
2013-09-03
影响因子:
3.2
通讯作者:
Seto Y
Seto Y
中科院分区:
医学3区
文献类型:
--
作者:
Okubo M;Tada K;Niwa T;Nishioka K;Tsuji E;Ogawa T;Seto Y

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腋窝区癌症的治疗取决于肿瘤的病因。一名37岁的女性,在腋窝有一个2厘米的肿块。芯针活检显示腺癌。体格检查、乳房X线摄影或超声检查均未发现异常乳房结果。然而,增强的磁共振成像(MRI)和正电子发射断层扫描(PET)显示了一个节段性分布的异常区域,在上外象限,连续的腋窝肿块。通过真空辅助活检获得的该区域的样本显示导管内癌。这些结果表明,腋窝病变是原发性乳腺癌起源于腋窝尾部的一部分。基于这些结果,患者接受了全乳房切除术和前哨淋巴结活检。病理检查示浸润性导管癌伴导管内癌,最长达8.5 cm。我们的病例提示增强MRI和PET可以为腋窝乳腺病变的治疗提供有用的术前信息。
The management of cancer in the axillary area depends on the etiology of the tumor. A 37-year-old woman presented with a 2 cm mass in the axillary fossa. Core needle biopsy revealed adenocarcinoma. There were no abnormal breast findings on physical examination, mammography, or ultrasonography. However, enhanced magnetic resonance imaging (MRI) and positron emission tomography (PET) showed a segmentally-distributed, abnormal area in the upper-outer quadrant, continuous with the axillary mass. Samples of this area obtained by vacuum-assisted biopsy showed intraductal carcinoma. These findings indicated that the axillary lesion was a part of primary breast cancer originating from the axillary tail. Based on these results, the patient underwent total mastectomy with sentinel lymph node biopsy. Pathological examination of the specimen showed invasive ductal carcinoma accompanied by intraductal carcinoma extending up to 8.5 cm. Our case suggests that enhanced MRI and PET can provide useful preoperative information for the management of axillary breast lesions.
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