临床上乳腺触不到肿块,以同侧淋巴结转移为首发症状的隐为乳腺癌较少见,我院收治1例,报告如下。 患者 女,57岁。左腋部肿物10个月,查体:左腋窝肿物7×6×5cm~3大小,质硬,界限清楚活动,表面无红肿。双乳丰满下垂,未触及肿物。入院后行左腋窝肿物切除术,病理报告为淋巴结转移性单纯癌,考虑来自乳腺。术后行左乳X片检查未发现肿物,液晶热象图检查,胸片、胃肠道及妇科检查均未见异常,按左乳癌行根治术,病理检查未发现原发灶,乳腺标本每隔1cm做巨切片观察未见肿瘤组织,腋下仍为淋巴结转移性单纯癌,转移8/16。 Clinically, the breast is not in contact with the mass, and it is rare that breast cancer is the first symptom of ipsilateral lymph node metastasis. One case was treated in our hospital. The report is as follows. Female patient, 57 years old. Left ankle mass 10 months, physical examination: left axillary mass 7 × 6 × 5cm ~ 3 size, hard, clear boundary activities, no redness on the surface. Double breasts plump, not touching the mass. After admission, left axillary tumor resection was performed. The pathological report was metastatic cancer of the lymph nodes and considered to be from the breast. No breast mass was detected after the left breast X-ray examination. No thermal abnormalities were detected on the LCD. Chest radiographs, gastrointestinal tract, and gynecologic examinations were all abnormal. According to left breast cancer, radical surgery was performed. Pathological examination did not reveal primary lesions. Breast specimens Giant tumors were observed every 1cm without tumor tissue. Metastatic cancer was still present in the armpit and metastasized 8/16.