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目的探讨隐性乳腺癌的诊断和治疗方法,减少隐性乳腺癌的误诊误治发生率。方法回顾性分析11例经过手术和病理证实的隐性乳腺癌患者的临床资料。结果 11例患者均表现为腋窝淋巴结肿大,经触诊和影像学检查均未发现乳房内包块。6例患者在术前进行腋窝淋巴结切除经病理学检查证实为腺癌转移,3例患者经细针穿刺细胞学检查提示为腺癌转移,另2例患者在术中快速冰冻切片进行病理学检查也诊断为腺癌转移。11例患者均行改良根治手术。术后随访2～6年,11例患者术后生存期>5年的5例,2～5年的4例,2例<2年。结论隐性乳腺癌是较少见的有特殊临床表现的乳腺癌之一,易出现误诊、误治。因此对临床上仅表现为腋窝淋巴结肿大而又无特殊乳房体征的患者,应尽快确定其病理性质,尽早治疗,以免延误病情。
Objective To investigate the diagnosis and treatment of tactile breast cancer and reduce the incidence of misdiagnosis and mistreatment of tactile breast cancer. Methods The clinical data of 11 patients with occult breast cancer confirmed by surgery and pathology were retrospectively analyzed. Results All the 11 patients showed swollen axillary lymph nodes. No palpable masses were found by palpation and imaging examination. Six patients underwent axillary lymph node dissection preoperatively confirmed by pathology as adenocarcinoma metastasis. Three patients were diagnosed as adenocarcinoma by fine needle aspiration cytology and two by frozen sections during operation for pathological examination Also diagnosed as adenocarcinoma metastasis. Eleven patients underwent modified radical surgery. The patients were followed up for 2 to 6 years. Five of the 11 patients had a survival of> 5 years, 4 of 2 to 5 years and 2 of 2 patients. Conclusion Recessive breast cancer is one of the rare breast cancer with special clinical manifestations, which is prone to misdiagnosis and mistreatment. Therefore, clinical manifestations of only axillary lymph nodes and no special signs of breast cancer patients, as soon as possible to determine the pathological nature of treatment as soon as possible, so as not to delay the disease.