| Popis: |
Secretory carcinoma of the breast is rare. We experienced a patient with advanced breast cancer which is pathologically secretory carcinoma. A 48-year-old female was seen at the hospital because of a hard tumor in the right breast. An irregular elastic hard mass, 4.0×4.0cm in size, was present in the border of A, C and E portion of the right breast. The axillary and supraclavicular lymph nodes were palpable. Lung metastasis was shown on CT examination. After 3 courses of chemotherapy (CAF), a simple mastectomy with axillary lymph node disection was carried out. The pathological examination of PAS and Alcian-blue staining material revealed secretory carcinoma. It has been reported that secretory carcinoma grows slowly, has a relatively good prognosis, and hence it can be indicated more limited operation in the foreign countries. In this country, houever, the disease not uncommonly has positive axillary lymph nodes, in a frequency of 32%. We think that mastectomy with axillary lymph node dissection should be done in initial treatment of this disease. |
