Surgical treatment of intracystic carcinoma of the breast

World Journal of Surgical Oncology

Research

Naoyuki Miyokawa¹  Satoshi Hayashi²  Masahiro Kitada²  Yoshinari Matsuda²  Tadahiro Sasajima²  Kazuhiro Sato² 

[1] Department of Clinical Pathology, Asahikawa Medical University, Asahikawa, Hokkaido, Japan;Department of Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan;

关键词: Breast Cancer;    Sentinel Lymph Node Biopsy;    Fine Needle Aspiration;    Axillary Lymph Node Dissection;    Papillary Carcinoma;   

DOI  :  10.1186/1477-7819-9-116

 received in 2011-07-03, accepted in 2011-10-04,  发布年份 2011

来源: Springer

【 摘 要 】

BackgroundIntracystic carcinoma of the breast is a type of breast cancer with favorable prognosis where cancer arises from the cystic wall. However, it is a relatively rare disease, and no general consensus has been reached on its definition, including pathogenesis, extramural invasion, and lymph node metastasis.MethodsSix patients who underwent surgery at the Department of Surgery at Asahikawa Medical University are presented. In each patient, background factors, diagnosis, surgery, pathological diagnosis, and prognosis were investigated.ResultsFine needle aspiration showed class V disease in three patients and class III disease in the other three, and lumpectomy was performed for class III patients. Three patients underwent breast-conserving surgery While extramural invasion was seen in three patients, lymph node metastasis was absent in all patients.ConclusionWhen it is difficult to diagnose intracystic carcinoma of the breast by fine needle aspiration, active lumpectomy is necessary. Because extramural invasion and lymph node metastasis have been reported, it is necessary to carefully determine the range of excision and rationally perform lymph node dissection, such as sentinel node biopsy.

【 授权许可】

CC BY   
© Kitada et al; licensee BioMed Central Ltd. 2011