Discrepancies between pathological examination and imaging analysis after primary systemic chemotherapy for breast cancer: report of two cases

  • Matsuoka Junji
    Department of Gastroentelogical Surgery and Surgical Oncology, Okayama University Hospitala
  • Tabuchi Yoko
    Department of Gastroentelogical Surgery and Surgical Oncology, Okayama University Hospitala
  • Ito Mitsuya
    Department of Gastroentelogical Surgery and Surgical Oncology, Okayama University Hospitala
  • Ono Ryoko
    Department of Gastroentelogical Surgery and Surgical Oncology, Okayama University Hospitala
  • Imada Takako
    Department of Gastroentelogical Surgery and Surgical Oncology, Okayama University Hospitala
  • Motoki Takayuki
    Department of Gastroentelogical Surgery and Surgical Oncology, Okayama University Hospitala
  • Matsukawa Hiroyosi
    Department of Gastroentelogical Surgery and Surgical Oncology, Okayama University Hospitala
  • Ohmori Masako
    Department of Gastroentelogical Pathology, Okayama University Hospitala
  • Yanai Hiroyuki
    Department of Gastroentelogical Pathology, Okayama University Hospitala
  • Naomoto Yoshio
    Department of Gastroentelogical Surgery and Surgical Oncology, Okayama University Hospitala
  • Tanaka Noriaki
    Department of Gastroentelogical Surgery and Surgical Oncology, Okayama University Hospitala

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Other Title
  • 乳癌術前化学療法の効果判定における画像診断われわれが経験した病理判定と画像診断の不一致症例について
  • 症例報告 乳癌術前化学療法の効果判定における画像診断 われわれが経験した病理判定と画像診断の不一致症例について
  • ショウレイ ホウコク ニュウガン ジュツゼン カガク リョウホウ ノ コウカ ハンテイ ニ オケル ガゾウ シンダン ワレワレ ガ ケイケン シタ ビョウリ ハンテイ ト ガゾウ シンダン ノ フイッチ ショウレイ ニ ツイテ

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Abstract

Primary systemic chemotherapy (PSC) in breast cancer prolongs disease-free survival in patients who have obtained pathological complete remission (pCR).In combination with pathological examination, CT and MRI have been used to evaluate the efficacy of PSC, they generally coincide well with pathological evaluation.We here present two cases showing discrepancies between pathological examination and imaging analysis after PSC in breast cancer.We should keep such discrepancies in mind to determine the ideal treatment after PSC.An accurate method of evaluating cellular damage by PSC is needed.

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