Invasive micropapillary carcinoma of the breast with minimal regional lymph node metastasis regardless of the huge size: Report of a case
| Autor: | Takashi Nagaie, Masanori Tokunaga, Kozo Nakanishi, Satoshi Taga, Shigeki Wakiyama, Akio Nakatsuka, Taisuke Toyomasu, Masaaki Tajima, Takashi Akiyoshi, Masahiko Ikebe, Makoto Morita, Mitsunori Hashimoto, Kazuo Nakanishi |
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| Rok vydání: | 2003 |
| Předmět: |
Adult
medicine.medical_specialty Breast Neoplasms Modified Radical Mastectomy Surgical Flaps Metastasis Mastectomy Modified Radical Breast cancer medicine Humans Mucinous carcinoma Neoplasm Invasiveness Pharmacology (medical) Radiology Nuclear Medicine and imaging Lymph node business.industry General Medicine Skin ulcer medicine.disease Carcinoma Papillary Surgery Dissection medicine.anatomical_structure Oncology Lymphatic Metastasis Female Lymph medicine.symptom business |
| Zdroj: | Breast Cancer. 10:356-360 |
| ISSN: | 1880-4233 1340-6868 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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