腫瘍内に巨大血腫を形成した乳癌の1例

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  • A CASE OF BREAST CANCER FORMING A GIANT HEMATOMA IN THE TUMOR

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A 40-year-old woman was admitted to the hospital because of a rapidly growing tumor of the left breast for the last 3 months and high fever. She had noticed the breast tumor 2 years before admission, but had not consulted any hospital. On admission the tumor in the left breast was huge, elastic soft and formed skin ulceration with bleeding and odor. No regional lymph nodes were palpated. The tumor was diagnosed as phyllodes tumor. Emergency simple mastectomy was performed because a risk of septicemia due to high fever was thought. The resected tumor revealed sponge like structure and had a large quantity of hematoma in the inner part. Histopathologically papillotubular adenocarcinoma was found in only the periphery of the tumor. We report this rare case which had an unusual clinical history leading to make a misdiagnosis of breast cancer.

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