METHODS: A 73-year-old man noticed a slowly enlarging mass in the right breast 1 year ago and sought medical attention. The patient presented with a right breast mass of 1-year duration and bloody nipple discharge in the first couple of days. The medical history was unremarkable.
METHODS: Physical examination, an elastic hard, smooth and movable 4-cm lesion was palpated below the right papilla. On the sonography, a well-defined predominantly cystic-solid tumor of 3.6 × 2.3 cm was confirmed. Postoperative pathological and immunohistochemical examinations of the surgical specimens revealed a final diagnosis of breast EPC with DCIS.
METHODS: The patient underwent surgery. A diagnosis of \"a little papillary neoplasm of the breast with epithelial atypia and hypertrophy in the fibrous cystic wall\" was made by the frozen section. Further, total mastectomy was performed.
RESULTS: The operation was successful. Then the male patient recovered completely, did not require any additional treatment and continued to do well on postsurgical mammary surgical clinic visits. The patient had been followed-up regularly for 2 years after surgery; he did not experience any complications and remained disease-free.
方法:一名73岁的男子1年前注意到右乳房有一个缓慢增大的肿块,于是求医。该患者在头几天内出现1年的右乳房肿块和流血的乳头溢液。病史并不明显。
方法:体格检查,一个有弹性的坚硬,右侧乳头下方触诊光滑且可移动的4厘米病变。在超声波检查中,一个明确的主要为3.6×2.3cm的囊实性肿瘤被证实。手术标本的术后病理和免疫组织化学检查显示,最终诊断为乳腺EPC伴DCIS。
方法:患者接受了手术。冷冻切片诊断为“乳腺小乳头状肿瘤,纤维囊壁上皮异型和肥大”。Further,进行了全乳房切除术.
结果:手术成功。然后男患者完全康复,不需要任何额外的治疗,并且在术后乳腺外科门诊就诊时继续做得很好。该患者在手术后2年内定期随访;他没有出现任何并发症并且保持无病。