A CASE OF SECRETORY CARCINOMA OF THE BREAST IN ELDERLY

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  • 高齢者の乳腺分泌癌の１例

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Abstract

We report a case of secretory carcinoma of the breast together with some biblographical comments.<br>A 75-year-old woman was seen at the hospital because of a tumor in the Barea of the right breast. On physical examination, the tumor, 2cm in diameter, was elastic hard and movable. There were no dermal infiltration and nipple discharge. A needle aspirasion biopsy cytology resulted in PC-II, but breast cancer suspected from findings of palpation, echography and CT of the breast. An excision biopsy was thus performed. On the excised specimen, secretory carcinoma including discharge which was positive for PAS and Alcian blue was diagnosed. So a segmental mastectomy and axillary lymph node dissection were added. Histopathologically the axillary lymph nodes were positive and hormone receptor assay resulted in negative response.<br>Secretory carcinoma of the breast demands the standard operation with lymph node dissection, because it metastasizes to the axillary lymph nodes in the almost same rate as that of other invasive ductal carcinomas of the breast. Chemotherapy is thought to be often employed as adjuvant therapy, because the positive rate of hormone receptor is low.

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