孤立性乳管内乳頭腫に浸潤性乳管癌が併発した1例

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  • A CASE OF SOLITARY INTRADUCTAL PAPILLOMA OF THE BREAST COEXISTING WITH INVASIVE DUCTAL CARCINOMA

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A 72-year-old woman was admitted to the hospital because of a growing left breast mass. On physical examination, a sharply demarcated, elastic-hard mass with the diameter of about 30 mm was felt in the left breast. There was no nipple discharge. Mammography revealed a round-shaped mass without any signs of malignancy such as spiculation and microcalcification. Ultrasonography showed a papillary lesion inside a cyst 24 mm in diameter. Result of a cytological study of serous fluid in the mass was class 3, which did not indicate malignancy. A lumpectomy was performed under general anesthesia, and intraoperative frozen section pathological findings revealed malignant component within intraductal papilloma. Because the patient preferred to undergo mastectomy in case of malignancy before operation, a mastectomy was performed. It has been reported that about 0 to 4% of cases of solitary intraductal papilloma involve invasive breast cancer in recent years. Careful follow-up is needed for patients with solitary intraductal papilloma.

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