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腋窝转移性腺癌临床诊治分析
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作者 莫丹 刘祥伟 +1 位作者 陈德滇 曲延玉 《中外女性健康研究》 2015年第18期207-208,共2页
目的:针对临床以腋窝淋巴结转移为首发症状而病理诊断为腺癌的病例的临床特征、诊断和治疗进行分析.方法:对2005年1月至2014年8月我院收治的以发现腋窝肿块为首发症状的32例病例的临床资料进行回顾性分析.结果:病理检查11例诊断为转... 目的:针对临床以腋窝淋巴结转移为首发症状而病理诊断为腺癌的病例的临床特征、诊断和治疗进行分析.方法:对2005年1月至2014年8月我院收治的以发现腋窝肿块为首发症状的32例病例的临床资料进行回顾性分析.结果:病理检查11例诊断为转移性腺癌,1例经穿刺确诊为NHL(非霍奇金淋巴瘤);确认转移性腺癌病例经临床系统查体,1例乳腺钼靶发现少许散在点状钙化,30例均未发现乳腺及其他地方肿瘤及转移;确诊为腋窝转移性腺癌患者均行乳腺癌改良根治术并术后TEC方案化疗6周期;随访术后患者无全身其他部位肿瘤发生及远处转移.结论:31例腋窝转移性腺癌,全身检查均未发现确切原发灶,免疫组化排除肺癌,甲状腺癌等恶性肿瘤转移;因此,首先考虑为隐匿性乳腺癌;并且乳腺癌改良根治术可作为预防术后复发的首要手术治疗方法. 展开更多
关键词 腋窝转移性腺癌 隐匿性乳腺 改良根治术
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Presentation of Axillary Metastases from Occult Breast Carcinoma
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作者 Xin Wang 《Chinese Journal of Clinical Oncology》 CSCD 2007年第1期1-5,共5页
Axillary presentation from occult breast cancer is uncommon and continues to be a diagnostic and therapeutic challenge to physicians. Once the diagnosis of adenocarcinoma metastatic to an axillary lymph node has been ... Axillary presentation from occult breast cancer is uncommon and continues to be a diagnostic and therapeutic challenge to physicians. Once the diagnosis of adenocarcinoma metastatic to an axillary lymph node has been confi rmed, a preoperative workup should be done. The current experience is based on several relatively small retrospective reviews and case reports. It is diffi cult to determine the best management of occult breast cancer. However, treatment of axillary lymph node dissection is recommended for local control and complete staging information. Treatment of breast should be a choice between breast conservation with whole-breast radiotherapy and mastectomy. Adjuvant systemic treatment should be offered. 展开更多
关键词 occult breast cancer axiUary metastases MASTECTOMY breast conservation radiotherapy.
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