同側乳腺に紡錘細胞癌と非浸潤性乳管癌を併発した1例

  • 吉田 直
    取手北相馬保健医療センター医師会病院外科
  • 白田 保夫
    取手北相馬保健医療センター医師会病院外科
  • 鈴木 武樹
    取手北相馬保健医療センター医師会病院外科
  • 谷 眞弓
    日本大学医学部乳腺内分泌外科

書誌事項

タイトル別名
  • A CASE OF SPINDLE CELL CARCINOMA WITH NON-INVASIVE DUCTAL CARCINOMA IN THE IPSILATERAL BREAST

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抄録

We present a case of spindle cell carcinoma synchronously associated with non-invasive ductal carcinoma in the ipsilateral breast. A 54-year-old woman was seen at the hospital because of a left breast tumor. A painless left breast tumor with the diameter of 2.5cm was palpated. Mammography visualized a distinctly outlined tumor 3.4cm in diameter in the same area. At the same time, an ill-defined tumor 1.1cm in diameter, with faint calcifications, was also recognized in the B area. Ultrasonography and dynamic magnetic resonance imaging scans of the breast revealed that the both tumors had apparently different characters. Fine needle aspiration cytology of the main foci resulted in class IIIb for that in CA area and class V for that in the B area. Accordingly, synchronous multiple cancer of the breast was diagnosed and a modified radical mastectomy (Bt+Ax) was carried out. Pathologically the tumor in the CA area was spindle cell carcinoma and the tumor in the B area was non-invasive ductal carcinoma. It is considered that a possibility of multiple breast cancer must be kept in mind even for specific type of non-invasive breast cancer.

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