■叶状肿瘤(PT)是罕见的乳腺肿瘤,发病率<1%。Further,PT和癌的共存也不常见。在这份报告中,我们描述了良性PT和同侧乳腺浸润性导管癌(IDC)同时共存的罕见病例。
方法:一名42岁女性,有6个月的右乳房肿瘤病史。钼靶和超声检查显示有9.0厘米的乳房肿块,核心活检显示良性PT.一个简单的右乳房切除术显示乳腺区域的IDC病灶,接近良性PT。通过手术进行右腋窝淋巴结分期。然而,未观察到淋巴结转移。随后,已开始适当的辅助治疗.目前,病人做得很好。
■乳腺癌可能位于同侧乳腺的PT附近,并且术前难以检测,尤其是在大型PT的情况下。早期发现共存癌的存在在临床上很重要,因为它可以改变患者的管理。
结论:使用额外的乳腺成像工具仔细评估PT可能有助于在使用标准乳腺成像工具(如乳房X线照相术或超声)难以诊断共存肿瘤的情况下确定它们与乳腺癌的共存。
UNASSIGNED: Phyllodes tumors (PTs) are rare breast neoplasms, with an incidence rate of <1 %. Further, the coexistence of PTs and carcinoma is also uncommon. In this report, we describe a rare
case of the synchronous coexistence of a benign PT and invasive ductal carcinoma (IDC) of the ipsilateral breast.
METHODS: A 42-year-old woman presented with a 6-month history of a tumor in her right breast. Mammography and ultrasonography revealed a 9.0 cm breast lump, and core biopsy revealed a benign PT. A simple mastectomy of the right breast revealed IDC foci in the mammary area, close to the benign PT. Right axillary lymph node staging was performed by surgery. However, no lymph node metastasis was observed. Subsequently, appropriate adjuvant therapy was initiated. Currently, the patient is doing well.
UNASSIGNED: Breast cancer may be located close to the PT of the ipsilateral breast and is difficult to detect preoperatively, especially in cases of large PTs. Early detection of the presence of a coexisting carcinoma is clinically important because it can alter patient management.
CONCLUSIONS: Careful assessment of the PT using additional breast imaging tools might help identify their coexistence with breast cancer in cases of difficult diagnosis of coexistent tumors using standard breast imaging tools such as mammography or ultrasound.