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患者女,61岁。因发现左乳肿块22天入院,肿块约鸡蛋大小,局部无红肿,无乳头溢液。体格检检查:左乳外侧可触及约4.0 cm×4.5 cm大小肿块,质地偏硬,边界欠清,与皮肤无粘连。超声检查提示左乳外上可见低回声区,约3.0 cm×2.2cm,界限不清,形态不规则(图1)。彩色多普勒超声检查见条状血流。2013年1月行左乳肿物切除活检术,术中冰冻病理切片检查提示左乳浸润性癌。行左乳癌改良根治术,术后石蜡病理检查提示左乳腺骨肉瘤
Female patient, 61 years old. Because of the discovery of left breast lump 22 days admission, the size of the egg about the tumor, no local swelling, nipple discharge. Physical examination: left lateral breast palpable about 4.0 cm × 4.5 cm size of the mass, the texture is too rigid, the border is not clear, no adhesion with the skin. Ultrasound examination showed that the left external mammary echogenic hypoechoic area, about 3.0 cm × 2.2cm, ill-defined, irregular shape (Figure 1). Color Doppler ultrasound examination of the strip of blood flow. In January 2013, a left-sided excisional biopsy of the left breast was performed. Intraoperative frozen section biopsy revealed left-sided invasive breast cancer. Left radical breast cancer radical mastectomy, postoperative paraffin pathological examination prompted left breast osteosarcoma