副乳に発生した小葉癌の１例

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  • A CASE OF LOBULAR CARCINOMA OF AXILLARY ACCESSORY BREAST

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We report a rare case of lobular carcinoma of the axillary accessory breast with a review of the literature. A 58-year-old woman was seen at the hospital because of a left axillary tumor. A hard tumor, 3cm in diameter, was found in her left axillary portion. No tumor was palpable in the left breast, and the left axillary lymph nodes were not palpated. Lobular carcinoma was diagnosed on aspiration cytology. Accessory breast cancer was strongly suspected, but the possibility of communication with the proper mammary tissue could not be ruled out. Consequently, a left partial mastectomy and axillary lymph node dissection were performed. Examination of the resected material showed no communication between the axillary tumor and the mammary duct. Accessory breast cancer of the axilla was definitely diagnosed. The patient has been administered anticancer agents (CEF: cyclophosphamide, epirubicin, and 5-fluorouracil (5-FU))) as postoperative adjuvant chemotherapy, and has been free from metastasis as of 8 months after the operation. This paper also presents a review of the literature in terms of diagnosis and treatment for lobular cancer of accessory breast.

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