異時性両側男性乳癌の1例 [in Japanese] A CASE OF HETEROCHRONIC BILATERAL MALE BREAST CANCER [in Japanese]
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症例は66歳，男性．39歳時，左乳房のしこりに気付き外来受診．生検により乳癌と診断され胸筋合併乳房切除術（Br+Mj+Mn+Ax）を受けた．病理学的にはScirrhous carcinoma，T1cn0M0 StageIであった．術後8年間の外来通院後診察は中断されていたが，術後12年目（51歳時）に久しぶりに外来受診したところ右乳頭直下に腫瘤が触知され穿刺吸引細胞診によりclassVと診断され，胸筋温存乳房切除術（Br+Ax）を受けた．病理学的にはSolid-tubular carcinoma，T1bn0M0 StageI，ER(+)，PgR(+)であった．第1回目の手術から27年，第2回目の手術から15年経過した現在（66歳）も再発の徴候は認めていない．
This is a 66-year-old man who had been diagnosed breast cancer and had undergone radical mastectomy by Halsted's method (Br+Mj+Mn+Ax), when he was 39 years old. Pathologically, he had scirrhous carcinoma of the breast in stg1 (T1cn0M0). He had been regularly examined at the outpatient ward for 8 years after the operation but had subsequently discontinued his visits to hospital. Twelve years from operation and after a prolonged interruption, he visited the outpatient ward for examination when he was 51 years old. A tumor was palpable immediately below the right nipple and aspiration biopsy cytology was positive for malignant cells with features consistent with breast carcinoma. Accordingly, he underwent modified radical mastectomy (Br+Ax). Pathologically, he had a solid-tubular carcinoma, in stageI, T1bn0M0 with positive hormone receptor status for both ER and PgR. At last following, 27 years from the first operation and 15 years from the second operation, no sign of recurrence is observed.
- The journal of the Japanese Practical Surgeon Society
The journal of the Japanese Practical Surgeon Society 69(7), 1611-1614, 2008-07-25
Japan Surgical Association