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患者,女,54岁。主因右乳腺癌T_1N_0M_0术后2年发现双肺转移1年,化疗后入院。患者既往行右乳腺癌改良根治术,术后病理浸润性导管癌,免疫组化显示ER阴性,PR阴性,Her-2:1+,阴性,P53(5%~10%),Ki-67(40%~50%)。于2014年3月5日9∶00在全麻下行右乳腺癌改良根治术,手术顺利,术后恢复良好。术后病理示:(1)右乳及右腋下淋巴结:乳腺原切口纤维组织增生,可见炎性细胞、泡沫样细胞及多核
Patient, female, 54 years old. The main cause of right breast cancer T_1N_0M_0 2 years after the discovery of double lung metastasis 1 year after admission, chemotherapy. The patients underwent radical mastectomy with right breast cancer and pathological invasive ductal carcinoma postoperatively. Immunohistochemistry showed that ER-negative, PR-negative, Her-2: 1+, negative, P53 (5% -10%), Ki-67 40% ~ 50%). On March 5, 2014, at 9:00, we performed modified radical mastectomy of right breast cancer under general anesthesia. The operation was smooth and the postoperative recovery was good. Postoperative pathology showed: (1) right breast and right axillary lymph nodes: primary breast incision fibrous tissue proliferation, showing inflammatory cells, foamy cells and multi-core