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乳腺原发类癌非常罕见,现将我们收治的1例报道如下。 病例介绍 患者 女性,65岁。因右乳腺肿物于1991年1月14日入院。入院前3周发现右乳腺外上象限有一蚕豆大小肿物,3周来肿物略有增大。30年前曾患左乳腺纤维腺瘤,手术切除。有长期接触甲苯及其它有毒化学药物史。其父患肾癌,兄患胃癌,妹患脑瘤,均死亡。体检:右乳外上象限可触及直径约1 cm大小的肿物,表面不光滑,质硬,无压痛,与皮肤无粘连,右腋窝及锁骨上淋巴结无肿大。胸部X线检查、腹部B超及实验室检查均无异常。拟诊右乳腺癌,于1991年1月18日手术切除,冰冻片报告:右乳腺癌,可能为类癌。即行乳腺癌根治术。
The primary breast cancer of the breast is very rare. Now we have reported one case as follows. Case Description Patient Female, 65 years old. The right breast mass was admitted to hospital on January 14, 1991. Three weeks before admission, a large bean mass was found in the upper right quadrant of the right breast, and the mass increased slightly during the 3 weeks. 30 years ago suffered from left breast fibroadenoma, surgical resection. There is a long history of exposure to toluene and other toxic chemicals. His father had kidney cancer, his brother had stomach cancer, and his sister had brain tumors. All died. Physical examination: The right breast outer quadrant can reach a mass of about 1 cm in diameter. The surface is not smooth, hard and tender, and has no adhesion to the skin. There is no enlargement of the right axillary and supraclavicular lymph nodes. There were no abnormalities in chest X-ray examination, abdominal ultrasound and laboratory examinations. The patient who was diagnosed with right breast cancer was surgically resected on January 18, 1991. The frozen section reported: right breast cancer, which may be carcinoid. That is, radical mastectomy.