乳腺アポクリン癌の2例 : 本邦報告39例の集計  [in Japanese] TWO CASES OF MAMMARY APOCRINE CARCINOMA AND STATISTICS ON 39 CASES REPORTED IN JAPAN  [in Japanese]

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Abstract

症例1: 55歳女性で,右乳房腫瘤を主訴に当科受診した. c領域に2.2cmの腫瘤を認め,諸検査にて乳癌と診断し,非定型的乳房切除術を施行した.病理組織検査で,アポクリン癌と診断した.症例2: 66歳女性で, 9年間の病悩期間を経て当科受診.右乳房全体に15cmの発赤,潰瘍を伴う巨大嚢胞性腫瘤を認め,非定型的乳房切除術を施行した.病理組織検査では,豊かな胞体の中に好酸性微細顆粒を認めアポクリン癌と診断した.<br> 本症の本邦報告例39例を集計すると,平均年齢は58.6歳とやや高く, n0は69.2%を占めた.また,限局充実型が多く,嚢胞形成を示すものは25.6%認められた.本症は,巨大腫瘤を呈しても,嚢胞形成を示し,リンパ節転移も少なく,生物学的悪性度は低い傾向が認められた.

[Case 1] A 55-year-old woman was seen at the department because of a mass in the right breast. The patient underwent modified radical mastectomy after confirmation of the presence of a mass 2.2 cm in diameter in the region C. The histopatological diagnosis was apocrine carcinoma.<br> [Case 2] A 66-year-old woman was seen at the department after a disease cource of 9 years for a breast tumor. Modified radical mastectomy was performed to remove a giant cystic mass accompanied by redness and ulcer measuring 15 cm in diameter and affecting the entire right breast. Histopathological examination revealed cancer cells with abundant cytoplasm containing fine eosinophil granules, characteristic of apocrine carcinoma.<br> In a review of the Japanese literature 39 cases of mammary apocrine carcinoma were seen. The mean age of the patients was relatively high, 58.6 years, and cases of no represented for 69.2% of them. The localized solid type was predominant, and cystic formation was found in 25.6%. Data on these previous cases show that this type of carcinoma, even when present in the form of a giant tumor, is likely to have cyst formation, and that lymph node metastasis is rare. A low grade of biological malignancy of the disease is indicated.

Journal

  • The journal of the Japanese Practical Surgeon Society

    The journal of the Japanese Practical Surgeon Society 56(5), 961-966, 1995-05-25

    Japan Surgical Association

References:  21

Cited by:  4

Codes

  • NII Article ID (NAID)
    10008513281
  • NII NACSIS-CAT ID (NCID)
    AN00198696
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    03869776
  • Data Source
    CJP  CJPref  J-STAGE 
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