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[一种难以区分于乳腺癌复发的样反应病例]

Yuya Sugimoto¹, Itsuro Terada, Sato Nakamura

¹Dept. of Surgery, Kurobe City Hospital.

Gan to kagaku ryoho. Cancer & chemotherapy

|January 17, 2026

概括

一名患有晚期HER2阳性乳腺癌的患者经历了疑似复发. 进一步的调查显示,这是一种良性类反应,而不是恶性,强调了彻底的组织病理学检查的重要性.

科学领域:

在瘤学瘤学.
病理学病理学病理学

背景情况:

一名老年妇女被诊断为第四阶段ER阴性,HER2阳性侵袭性导管癌,呈现了中枢淋巴结转移.
最初的化疗和抗HER2治疗导致完全缓解.

研究的目的:

在初始缓解后调查乳腺癌患者怀疑复发性淋巴腺病的性质.

主要方法:

用FDG-PET/CT成像来评估淋巴结扩大.
手术切除扩大的淋巴结.
切除组织的组织病理学检查.

主要成果:

FDG-PET/CT表明左下淋巴结的复发. 在左下淋巴结.
放射治疗提供了暂时的缓解.
组织病理学证实非病变性颗粒瘤,与 Sarcoid-like反应一致,而不是恶性病变.

结论:

怀疑乳腺癌复发可能会被良性疾病模仿,比如样反应.
准确的组织病理学诊断对于适当的患者管理至关重要.
患者在术后仍然没有复发.

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