1.
論文 |
西, 隆 ; 井川, 明子 ; 西村, 顕正 ; 袴田, 健一
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2.
論文 |
佐藤, 健太郎 ; 西村, 顕正 ; 井川, 明子 ; 岡野, 健介 ; 袴田, 健一
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3.
論文 |
梅津, 誠子 ; 西, 隆 ; 西村, 顕正 ; 井川, 明子 ; 岡野, 健介 ; 袴田, 健一 ; 後藤, 慎太郎 ; 鬼島, 宏
概要:
境界明瞭な乳房腫瘤は良性の場合が多い.今回,境界明瞭な腫瘤像を呈した男性乳癌を2 例経験したので報告する.症例1 は50代の男性.人間ドックで右乳房腫瘤を指摘され当院に紹介,US で右乳腺E領域に約17 mm の境界明瞭な腫瘤を認めた.針
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生検で乳癌の診断を得て,胸筋温存乳房切除とSN を行った.病期はT1cN0M0, 病期 I,病理診断は浸潤性乳管癌であった.症例2 は60代の男性.増大する左乳房腫瘤を主訴に紹介医を受診した.超音波検査(US)で左乳腺E領域に約11 mm の境界明瞭な腫瘤を認めた.穿刺吸引細胞診で乳癌の診断を得て当院に紹介,胸筋温存乳房切除術と腋窩郭清(Ax)を施行した.病期はT1cN0M0,病期 I.病理診断は浸潤性微小乳頭癌,リンパ節はAx 陰性(0/14)であった.境界明瞭な腫瘤像を呈する男性乳癌の報告が多く,男性では境界明瞭な腫瘤でも乳癌を疑って精査すべきと考えられた. A large proportion of well-defined breast masses are generally benign. In this study, we report two cases of malebreast cancer that showed well-defined masses. Case1 is a male in his 50s. US revealed a well-defined mass of approximately16.6 mm in the E region of the right mammary gland. Breast cancer was diagnosed by needle biopsy. Breastmuscle-sparing mastectomy and senti-nel lymph node biopsy (SN) were performed. Histopathology showed invasiveductal carcinoma of the breast, classified as pT1cN0M0, stage I. Case 2 is a male in his 60s. Ultrasonography (US)revealed a well-defined mass approxi-mately 18 mm, in the E region of the left mammary gland. Breast cancer wasdiagnosed by aspiration biopsy and cytology. The patient underwent pectoral muscle-sparing mastectomy andaxillary lymph node dissection (Ax). Histo-pathology showed invasive micropapillary carcinoma, and all samples forlymph node biopsy were negative. Pathologic staging was pT1cN0M0, stage I. In male breast cancer, tumors withwell-defined mass images are frequently re-ported. In men, even a well-defined mass is suspected to be breast cancerand should be scrutinized.
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4.
学位論文 |
井川, 明子
概要:
掲載誌:Virchows Archiv ;481(4):533-543,2022
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