现代肿瘤医学
現代腫瘤醫學
현대종류의학
JOURNAL OF MODERN ONCOLOGY
2014年
10期
2335-2337,2338
,共4页
朱延美%徐慧慧%王睿%李锐%李雅浩
硃延美%徐慧慧%王睿%李銳%李雅浩
주연미%서혜혜%왕예%리예%리아호
副乳腺癌%诊断%鉴别诊断%治疗
副乳腺癌%診斷%鑒彆診斷%治療
부유선암%진단%감별진단%치료
accessory breast cancer%diagnosis%differential diagnosis%treatment
目的:探讨副乳腺癌的诊断、鉴别诊断以及治疗方法。方法:报道腋窝副乳腺浸润性导管癌1例,结合文献对副乳腺癌的特点、临床表现、诊断、鉴别诊断、治疗以及预后进行探讨。结果:副乳腺癌的发病率较低,结合临床表现、镜下观察及免疫组化方法,可以明确诊断。注意与乳腺腋尾部癌、皮肤附件来源的肿瘤、腋下淋巴结转移癌、腋下淋巴结淋巴瘤等疾病进行鉴别诊断;治疗原则基本等同于乳腺癌的治疗。其预后较差,术后积极放化疗,有可能改善预后。结论:副乳腺癌相对少见。有副乳腺症者应加强自检,做到早期发现早期治疗。新辅助化疗联合手术治疗对提高患者的生存率很重要。
目的:探討副乳腺癌的診斷、鑒彆診斷以及治療方法。方法:報道腋窩副乳腺浸潤性導管癌1例,結閤文獻對副乳腺癌的特點、臨床錶現、診斷、鑒彆診斷、治療以及預後進行探討。結果:副乳腺癌的髮病率較低,結閤臨床錶現、鏡下觀察及免疫組化方法,可以明確診斷。註意與乳腺腋尾部癌、皮膚附件來源的腫瘤、腋下淋巴結轉移癌、腋下淋巴結淋巴瘤等疾病進行鑒彆診斷;治療原則基本等同于乳腺癌的治療。其預後較差,術後積極放化療,有可能改善預後。結論:副乳腺癌相對少見。有副乳腺癥者應加彊自檢,做到早期髮現早期治療。新輔助化療聯閤手術治療對提高患者的生存率很重要。
목적:탐토부유선암적진단、감별진단이급치료방법。방법:보도액와부유선침윤성도관암1례,결합문헌대부유선암적특점、림상표현、진단、감별진단、치료이급예후진행탐토。결과:부유선암적발병솔교저,결합림상표현、경하관찰급면역조화방법,가이명학진단。주의여유선액미부암、피부부건래원적종류、액하림파결전이암、액하림파결림파류등질병진행감별진단;치료원칙기본등동우유선암적치료。기예후교차,술후적겁방화료,유가능개선예후。결론:부유선암상대소견。유부유선증자응가강자검,주도조기발현조기치료。신보조화료연합수술치료대제고환자적생존솔흔중요。
Objective:To discuss the diagnosis,differential diagnosis and treatment of accessory breast cancer. Methods:One case of accessory invasive ductal carcinoma axilla in axilla accessory breast tissue was reported and re-view the literature. Results:The incidence rate of accessory breast cancer is low. The proper diagnosis could be made through combining clinical manifestation,morphology under microscope and immunohistochemistry. It is important to different it from breast cancer from armpit tail,tumor from skin appendages,metastatic carcinoma in axillary lymph nodes and axillary lymph nodes lymphoma. The therapeutic principle of accessory breast cancer is the same to normal breast cancer. The prognosis is poor. Conclusion:The accessory breast cancer is relatively uncommon. The patient of accessory breast tissue should strengthen self-checking. New adjuvant chemotherapy combine with surgery is the key to improve the survival rate.