Invasive micropapillary carcinoma of the breast with minimal regional lymph node metastasis regardless of the huge size: Report of a case.

Autor: Akiyoshi, Takashi, Nagaie, Takashi, Tokunaga, Masanori, Tajima, Masaaki, Morita, Makoto, Nakatsuka, Akio, Taga, Satoshi, Wakiyama, Shigeki, Ikebe, Masahiko, Kozo Nakanishi, Hashimoto, Mitsunori, Toyomasu, Taisuke, Nakanishi, Kazuo
Zdroj: Breast Cancer (13406868); Oct2003, Vol. 10 Issue 4, p356-360, 5p
Abstrakt: We present a 38-year-old premenopausal Japanese woman with invasive micropapillary carcinoma (IMC) of the left breast with minimal lymph node metastasis despite a huge size. The patient noticed a left breast mass and a bloody nipple discharge 2 years before admission. On admission, physical examination revealed a huge, elastic hard mass with skin ulcer 12 × 12 cm in diameter occupying the entire left breast. The patient underwent modified radical mastectomy with level III lymph node dissection, and the defect was reconstructed with a vertical rectus abdominis myocutaneous flap. Histopathologically, IMC comprised about 60% of the tumor, admixed with papillotubular and mucinous carcinoma. Only one of twenty-five lymph nodes had tumor metastasis. The patient remains well 8 months postoperatively without any signs of recurrence. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index
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