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A case regarded as an occult breast cancer treated without mastectomy

机译：一例被认为是隐性乳腺癌而未进行乳房切除术的病例

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摘要

A 51-year-old woman was admitted to our hospital with a chief complaint of left axillary tumors. No such tumors were detected in bilateral breasts by ultrasonic tomography, mammography, computed tomography, and magnetic resonance imaging. The core needle biopsy from the left axillary lymph node was examined, and the specimen revealed an occult breast cancer, because the microscopic findings resembled the breast cancer organization and immunochemistry revealed positivity of the estrogen receptor. The radical left axillary dissection was operated. Tamoxifen and FEC 100 6 cycles were selected as adjuvant treatment. At one year after operation, she has no recurrence. Carcinoma cells had portedly been recognized in the mammary gland with 82.7% of the cases who had undergone mastectomy for occult breast cancer. However, in many cases, the patient's consent for mastectomy was not obtained like as in this case, and the choice of treatment is often difficult. We considered that the case's accumulation was necessary to verify the possibility of the mastectomy omission to an occult breast cancer, presented the case report.
机译：一名51岁的女性因主诉左腋窝肿瘤而入院。通过超声波断层扫描，乳房X线照片，计算机断层扫描和磁共振成像，在双侧乳房中均未检测到此类肿瘤。检查了左腋窝淋巴结的核心针穿刺活检，并且该标本显示出隐匿性乳腺癌，因为显微镜下的发现类似于乳腺癌的组织，而免疫化学表明雌激素受体呈阳性。根治性左腋窝清扫术。选择他莫昔芬和FEC 100 6个周期作为辅助治疗。手术后一年，她没有复发。乳腺癌细胞已被公认是乳腺癌细胞，其中82.7％的因隐匿性乳腺癌而接受了乳房切除术的患者。但是，在许多情况下，没有像在这种情况下那样获得患者对乳房切除术的同意，并且治疗的选择通常很困难。我们认为，该病例的积累对于验证乳房隐匿性乳腺癌漏诊为隐匿性乳腺癌的可能性是必要的。

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