Diagnosis and treatment of occult breast cancer: report of 23 cases / 中华肿瘤杂志
Chinese Journal of Oncology
;
(12): 716-718, 2010.
Artículo
en Chino
| WPRIM
| ID: wpr-293518
ABSTRACT
<p><b>OBJECTIVE</b>To explore the presenting clinical features, management approach and treatment outcomes for occult breast cancer.</p><p><b>METHODS</b>Twenty-three patients with occult breast cancer presenting with axillary nodal metastases treated in our department between 1986 and 2007 were included in this study. The clinicopathological, imaging and follow-up data of the 23 cases were retrospectively analyzed.</p><p><b>RESULTS</b>All patients were female. The mean age of diagnosis was 57.7 years with a range of 27 - 73 years. The mean follow-up was 15.70 months (range 1 - 62 months). Eight cases in 17 patients were positive by breast ultrasound, three cases in 9 patients were positive by mammography, one case in 2 patients was positive by breast MRI. 20 patients underwent modified radical mastectomy and three patients did not receive the mastectomy treatment. 16 patients had chemotherapy, four patients had radiotherapy, two patients had both chemotherapy and radiotherapy. Two patients had pulmonary metastasis, one patient had recurrence of axillary nodes, pulmonary metastasis and bone metastasis during follow-up.</p><p><b>CONCLUSIONS</b>A normal check before operation to exclude a cancer of other origin can help to diagnose occult breast cancer. The breast must be treated. Axillary nodal dissection and mastectomy, or breast conservation with radiation therapy alone can be considered as a management option.</p>
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Patología
/
Cirugía General
/
Terapéutica
/
Neoplasias Óseas
/
Neoplasias de la Mama
/
Imagen por Resonancia Magnética
/
Mamografía
/
Mastectomía Radical Modificada
/
Protocolos de Quimioterapia Combinada Antineoplásica
/
Estudios Retrospectivos
Tipo de estudio:
Estudio diagnóstico
/
Estudio observacional
/
Estudio pronóstico
/
Factores de riesgo
Límite:
Adulto
/
Anciano
/
Femenino
/
Humanos
Idioma:
Chino
Revista:
Chinese Journal of Oncology
Año:
2010
Tipo del documento:
Artículo
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