男性结肠腺癌和乳腺囊内乳头状癌多发性原发癌1例报告

Multiple primary intracystic papillary carcinoma of breast complicated colon adenocarcinoma in male:A case report

  • 摘要: 目的 通过分析1例男性结肠腺癌和乳腺囊内乳头状癌多发性原发癌患者的临床资料,总结男性乳腺囊内乳头状癌的诊疗方案,以提高对该病的认识。方法 分析2019年3月广州市红十字会医院乳腺科诊治的1例曾罹患结肠腺癌的男性乳腺囊内乳头状癌患者的临床资料,对男性乳腺囊内乳头状癌的诊疗方案进行探讨。结果 此患者2014年4月确诊升结肠腺癌,行手术、化疗治疗,术后恢复良好,随访至今未见肿瘤复发转移。2019年3月因"发现左乳腺肿物8个月余"入院,乳腺彩超、磁共振检查提示左侧乳腺肿物,行左侧乳腺单纯切除术。术后病理确诊为左侧乳腺囊内乳头状癌。术后完成放疗并开始他莫昔芬内分泌治疗至今,肿瘤未见复发转移。结论 男性乳腺囊内乳头状癌伴结肠腺癌非常罕见,乳腺囊内乳头状癌若无明确浸润证据,按照原位癌进行诊疗。

     

    Abstract: Objective To summarize the diagnosis and treatment of male breast intracystic papillary carcinoma by reporting one case of intracystic papillary carcinoma of the breast combined with colon adenocarcinoma in male,so as to improve the understanding of this rare disease. Methods Clinical data about one male patient with intracystic papillary carcinoma of breast,who had previously suffered from colon adenocarcinoma,in the breast surgery department of Guangzhou Red Cross Hospital in March 2019 were analyzed,and the diagnosis and treatment of male breast intracystic papillary carcinoma was discussed. Results The patient was diagnosed with ascending colon adenocarcinoma in April 2014,and had undergone surgery and chemotherapy.The postoperative recovery was good,and no tumor recurrence and metastasis was observed during follow-up.In March 2019,the patient was admitted for "left breast mass for 8 months".Color ultrasound and magnetic resonance imaging of the breast found a mass in the left breast,and "left breast simple resection" was performed.Postoperative pathology examination confirmed the diagnosis of intracystic papillary carcinoma in the left breast.After the operation,radiotherapy was completed and tamoxifen endocrine therapy was initiated.No recurrence or metastasis had been observed. Conclusion Breast intracystic papillary carcinoma complicated colon cancer is rare.If there is no clear evidence of infiltration,diagnosis and treatment of male breast intracystic papillary carcinoma should be conducted as carcinoma in situ.

     

/

返回文章
返回