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乳腺的临床阴性节点侵袭性叶囊性癌,表现为多个淋巴结转移
1Department of Surgery, Kishiwada Tokushukai Hospital 4-27-1, Kamori-cho, Kishiwada-city, Osaka, Japan.
Radiology case reports
|March 4, 2024
概括
惰性侵袭性叶状腺癌,即使是低增殖,也可以呈现出广泛的淋巴结转移. 乳腺外科医生必须考虑在乳头 - 乳腺复合体附近的皮肤透,尽管对淋巴腺病的影像检测是负面的.
科学领域:
- 在瘤学瘤学.
- 放射学 放射学是一门学科.
- 病理学 病理学 病理学
背景情况:
- 查计算机断层扫描 (CT) 在一名73岁的妇女身上检测到右乳腺瘤.
- 乳房扫描显示乳腺扭曲和皮肤收缩;超声波 (美国) 显示有低声光环的不规则瘤.
- 最初的成像 (US和CT) 没有表明淋巴腺病变或淋巴结转移.
研究的目的:
- 要突出一个具有意外淋巴结转移的侵袭性叶状瘤病例.
- 强调在结节阴性乳腺癌诊断中考虑皮肤透的重要性.
- 告知乳腺外科医生关于评估淋巴结参与的潜在陷.
主要方法:
- 核针活检证实了侵袭性叶状腺癌.
- 进行了乳房切除和哨兵节点活检.
- 由于手术期间的发现,需要进行带淋巴结剖析,并确认了广泛的转移.
主要成果:
- 尽管手术前的成像显示没有淋巴腺病变,但在骨剖析后发现了12个淋巴结转移.
- 手术后的病理学揭示了癌细胞透到乳头 - 耳膜综合体附近的皮肤.
- 免疫染表明生殖生殖能力较低 (Ki-67标记指数为10%).
结论:
- 侵袭性叶状核癌与乳头-叶状核复合体附近的皮肤透会导致多个淋巴结转移.
- 在这种情况下,低增殖标记并不排除广泛的结节传播.
- 乳腺外科医生应该保持高怀疑节点转移的指数,即使有负面的成像结果.
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