APOCRINE MAMMARY CARCINOMA -A CASE REPORT-

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  • SANO Makoto
    Department of Surgery, Fujitagakuen Health University School of Medicine
  • SUZUKI Hiroichiro
    Department of Surgery, Fujitagakuen Health University School of Medicine
  • OOSHIMA Ryo
    Department of Surgery, Fujitagakuen Health University School of Medicine
  • KOBAYASHI Kenichi
    Department of Surgery, Fujitagakuen Health University School of Medicine
  • SHIRAISHI Tenzo
    Department of Surgery, Fujitagakuen Health University School of Medicine
  • KAWABE Norihiko
    Department of Surgery, Fujitagakuen Health University School of Medicine
  • MIZUNO Yuho
    Department of Surgery, Fujitagakuen Health University School of Medicine
  • UMEMOTO Shunji
    Department of Surgery, Fujitagakuen Health University School of Medicine
  • MATSUMOTO Sumio
    Department of Surgery, Fujitagakuen Health University School of Medicine
  • HORIBE Yoshimune
    Department of Pathology, Fujitagakuen Health University School of Medicine

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  • 乳腺アポクリン癌の1例

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Abstract

A 40-year-old woman was seen at the hospital because of a mass in the right breast. On examination a mass measuring 2 cm was detected in the AC area. The lesion was well-defined and partly cystic. Mammography also showed a well-defined mass without calcification. Aspiration cytology revealed spithelial cells with nucleus of various sizes and prominent nucleolus, and the diagnosis was class IV. Since apocrine cancer was suspected, biopsy was done and the diagnosis was confirmed. Modified radical mastectomy was performed under the diagnosis of T2aN0M0 and Stage II. No lymph node metastases were noted in the resected surgical materials and the postoperative course has been unevntful. The patient is currently being followed up on an ambulant basis.<br> Apocrine mammary cancer is classified histologically as invasive cancer of a special type according to the Japanese rules for classifying breast cancer. In Japan, 56 patients with this disease have been reported. The average age of these patients was 57 years, being slightly higher than that of patients with ordinary breast cancer. The patients capable of being diagnosed as having a cancer by aspiration cytology represented 44% of all patients undergoing the cytology, and those diagnosed as having apocrine mammary cancer represented only 28% including suspected patients. It is thought that a great amount of skill may be required to diagnose this disease by aspiration cytology alone.

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