CAJ | 학술논문

隐匿性乳腺癌(occult breast cancer,OBC),是较少见的特殊类型乳腺癌,指经临床体检和影像学检查未发现乳房内包块而以腋窝淋巴结转移或其他远处转移为首发症状,并经病理证实来源于乳腺组织的乳腺癌.对转移淋巴结进行组织病理学检查是OBC诊断的关键.对于钼靶和超声阴性的OBC,增强核磁共振(MRI)检查在寻找原发灶方面有重要作用,且有助于OBC的术前定位和指导手术方案.其手术治疗方法的选择尚有争议.现介绍1例晚期转移性OBC,经多学科联合诊治、予以个体化综合治疗的成功经验,为OBC的诊治提供更多思路,强调多学科协作诊疗模式.
은닉성유선암(occult breast cancer,OBC),시교소견적특수류형유선암,지경림상체검화영상학검사미발현유방내포괴이이액와림파결전이혹기타원처전이위수발증상,병경병리증실래원우유선조직적유선암.대전이림파결진행조직병이학검사시OBC진단적관건.대우목파화초성음성적OBC,증강핵자공진(MRI)검사재심조원발조방면유중요작용,차유조우OBC적술전정위화지도수술방안.기수술치료방법적선택상유쟁의.현개소1례만기전이성OBC,경다학과연합진치、여이개체화종합치료적성공경험,위OBC적진치제공경다사로,강조다학과협작진료모식.
Occult breast carcinoma (occult breast cancer, OBC) is a rare and special type of breast cancer. OBC does show breast mass via clinical examination and imaging studies. Axillary lymph node metastasis or other distant metastases are the first symptoms for OBC;the cancer comes from the breast tissue, as confirmed by pathology. The histopathological examination of the metastatic lymph nodes is the key to the diagnosis of OBC. Enhanced MRI has an important role in indentifying the primary tumor for mammography and ultrasound negative OBC, and contribute to the preoperative occult breast positioning and guiding surgery program. However, surgical treatment for OBC remains controversial. In this study, we introduce one case with advanced metastatic OBC. The successful experience of the multi-disciplinary joint diagnosis and individualized comprehensive treatment provide more ideas for the diagnosis and treatment of OBC, emphasizing the multiple disciplinary team treatment model.