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患者,女性,70岁。右乳腺肿块半年余,近日来增大较快,于1996年3月10日入院。检查:双侧乳房不对称,右乳外形明显大于左侧,皮肤表面呈桔皮样外观,在右侧乳房外上象限区触及2cm×2cm实性肿块,质地较硬,边缘不清,右腋下淋巴结未触及。临床按乳腺癌行根治术。术中所见:肿瘤位于乳腺组织内,与皮肤粘连,未累及胸大肌。 病理检查:切除带皮乳腺组织体积cm:20×10×7,切面可见一灰白色肿物,体积cm:3×3×2,肿物切面实性,灰白色,质脆,边界较清;送检腋下淋巴结10枚未肿大。光镜下:
Patient, female, 70 years old. The right breast mass was more than half a year old. It has increased rapidly in recent days and was admitted to hospital on March 10, 1996. Examination: bilateral breast asymmetry, right breast shape is significantly larger than the left side, the skin surface was orange peel appearance, in the right upper breast quadrant area touched 2cm × 2cm solid mass, texture is hard, the edge is not clear, right The lymph nodes were not touched. Clinical breast cancer surgery. Intraoperative findings: The tumor was located in the breast tissue and adhered to the skin without pectoralis major involvement. Pathological examination: Excision of skin mammary gland tissue volume cm: 20 × 10 × 7, cut surface shows a gray white mass, volume cm: 3 × 3 × 2, solid cut surface, gray, crisp, clear boundary; Ten axillary lymph nodes were not enlarged. Light microscope: