乳腺囊内乳头状癌:报告1例并文献复习

Benmouna Imane, Mouimen Soukaina, Slaoui Aziz, Pr Baidada Aziz
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摘要

乳腺囊内乳头状癌(IPC)是一种罕见的恶性肿瘤,主要见于但不限于老年妇女。IPC可能无症状或表现为可触及的肿块或带血的乳头分泌物。IPC的放射学表现不特异性。在超声检查上,它可以是一个纯粹的囊肿,混合图像,或一个固体肿块。肿瘤的组织学特征包括纤维血管核心周围的细胞增生,有无浸润。主要的治疗方法是保乳手术或乳房切除术。浸润性病例可考虑前哨淋巴结活检。在适当的情况下考虑辅助放疗和/或内分泌治疗。通过对一位58岁患者的观察,我们报告了乳头状乳腺癌的流行病学、临床和放射学资料。
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Intracystic papillary carcinoma of the breast: Report case and literature review
Intracystic papillary carcinoma (IPC) of the breast is a rare malignant tumour, found mainly but not exclusively in elderly women. IPC may be asymptomatic or presents with a palpable mass or blood-stained nipple discharge. Radiologic manifestations of IPC are not specific. On ultrasonography, it can be a pure cyst, a mixed image, or a solid mass. Histologic features of the tumor include cellular proliferations surrounding fibrovascular cores, with or without invasion. The mainstay of treatment is breast-conserving surgery or mastectomy. Sentinel node biopsy could be considered in invasive cases. Adjuvant radiotherapy and/or endocrine therapy is considered in appropriate cases. Through the observation of a 58-year-old patient, we report the epidemiological, clinical and radiological data of papillary breast carcinoma.
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