表现为锁骨上肿块的隐匿性乳腺癌的诊治分析

Occult breast carcinoma presenting with supraclavicular tumor

目的 探讨表现为锁骨上肿块的隐匿性乳腺癌的发病特点、诊断和治疗方法。方法 对经我院手术治疗的 7例表现为同侧锁骨上肿块的隐匿性乳腺癌的临床及病理资料进行回顾性分析。结果 行锁骨上肿块部分切除 1例 ,行锁骨上肿块切除、腋窝肿块切除、乳房切除 1例 ,锁骨上肿块切除、乳腺癌改良根治术 2例 ,锁骨上肿块切除、乳腺癌根治术 3例。结论 对原因不明的锁骨上肿块 ,应考虑到隐匿性乳腺癌的可能 ,应予切除并送病理确诊 ,锁骨上肿块转移的组织学类型可对判断肿瘤来源提供重要线索。一经确诊 ,本病宜选根治术 ,并辅助放、化疗。

Objective To investigate the characteristic,diagnosis and treatment of occult breast carcinoma (OBC) presenting with supraclavicular tumor.Methods The clinical and pathological data of 7 cases of OBC presenting with supraclavicular tumor were analyzed retrospectively.Results The survival time of the patients who underwent supaclavicular tumor excision plus modified radical mastectomy and radical mastectomy was longer than that of the patients subject to partial supracavicular tumor excision (STE) and STE plus simple mastectomy.All of the former 5 patients,1 have lived over 3 years,2 over 5 years,1 over 10 years.Two cases of 3 patients living over 5 years underwent radical mastectomy.Conclusion For supaclavicular tumor which causes are uncertain, the possibility of OBC should be considered.Meanwhile excision and pathological examination are necessary.The matastatic histological structure of the supraclavicular tumor usually provided important clue for the source of the tumor.Once diagnosed,radical mastectomy should be selected.Furthermore,post operative chemotherapy and radiotherapy should be done.