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The Coexistence of Malignant Phyllodes Tumor with an Intraductal Carcinoma in the Contralateral Breast: A Case Report

單側乳房惡性葉狀肉瘤同時併存對側乳房管內腺癌-一病例報告

摘要


單側乳房惡性葉狀肉瘤同時併存對側乳房管內腺癌是非常罕見。本篇報告一位四十七歲女姓,她發現左側乳房腫瘤約有二十年。但近二月來有疼痛,變大的趨勢而至本院求診。在術前乳房超音波檢查發現右側有另一腫瘤,於是接受雙側乳房切片檢查,冰凍切片顯示左側乳房為惡性葉狀肉瘤及右側乳房為管內腺癌。在文獻報告上,單側乳房惡性葉狀肉瘤併存對側管內腺癌之資料非常少。我們將在此探討惡性葉狀肉瘤及管內腺癌之臨床病理特徵。

並列摘要


It is very unusual for a malignant phyllodes tumor of breast to coexist with an intraductal carcinoma of the opposite side. We report herein such a 47-year-old woman in our hospital. For 20 years, she suffered from a palpable mass over of the left breast. In addition, at pre-operation survey, another lesion of the right breast was detected by sonography. Frozen sections from the biopsies of the bilateral tumors showed intraductal carcinoma of the right breast associated with a malignant phyllodes tumor of the left breast. The coexistence of tumors in bilateral breasts has been documented rarely in the past. The clinico-pathological features of phyllodes tumor and intraductal carcinoma are discussed and reviewed in this paper.

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