叶状乳腺癌是由静态乳腺转移所揭示的
Armel Luvumbu1, Denis Tack2, Jean-Christophe Lebrun2
1Emergency Medicine, Centre Hospitalier EpiCURA - Site de Ath, Ath, BEL.
Cureus
|October 1, 2025
概括
一个罕见的侵袭性叶状乳腺癌病例呈现为小肠阻塞 (SBO). 这凸显了需要考虑女性中不寻常的SBO原因,特别是没有确的成像.
科学领域:
- 在瘤学瘤学.
- 胃肠病学 胃肠病学
- 放射学 放射学是一门学科.
背景情况:
- 小肠阻塞 (SBO) 是一个常见的急诊室呈现.
- 转移性乳腺癌可以出现胃肠道症状,尽管很少是最初的表现.
- 隐性原发性瘤的诊断可能具有挑战性.
研究的目的:
- 报告一个由转移性侵袭性叶状乳腺癌引起的单独的乳房管狭窄病例.
- 为了强调隐秘原发性乳腺癌所带来的诊断挑战,作为SBO.
- 讨论这种罕见表现的管理和治疗.
主要方法:
- 一个49岁的女性患有急性腹痛的病例报告.
- 诊断工作包括乳房影像,超声波和乳房核磁共振.
- 通过免疫组织化学检查,对阴茎狭窄的组织病理学检查.
- 手术切除,然后进行辅助疗法.
主要成果:
- 乳房缩被诊断为乳房的转移性侵袭性叶状腺癌.
- 最初的乳房成像 (乳房显微镜,超声波) 呈阴性;MRI显示微妙的病变.
- 组织学证实了一种隐秘的初级乳腺瘤.
- 患者在阴茎切除和用CDK4/6抑制剂进行激素治疗后没有复杂的恢复.
结论:
- 在女性非典型SBO的差异诊断中,应考虑转移性乳腺癌.
- 像MRI这样的先进成像可能会揭示隐性恶性瘤的微妙迹象.
- 涉及瘤学和外科手术的多学科管理对于最佳结果至关重要.
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