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摘要


乳暈乳頭複體的基底細胞癌非常少,歷史文獻上只有24例被報告,其中17例是男性。大多數病人是以單純切除來治療。我們報導一例發生在46歲女性的乳暈乳頭複體的基底細胞癌,我們以部分乳房切除手術來治療病人。因為在文獻上的24例中,有3位病人被發現有腋下淋巴結轉移,所以我們將哨兵淋巴結的概念,應用在這個病人身上,以檢查腋下淋巴結是否有轉移,避免不必要的腋下淋巴結廓清手術及其所引起的併發症。

並列摘要


Basal cell carcinoma (BCC) of the nipple-areola complex is very rare. Only 24 cases were reported in the literature and 17 (70.8%) of these cases arose in men. Most of the cases were treated with simple excision. We report on a case of BCC of the nipple-areola complex in a 46-year-old woman, treated with partial mastectomy. Metastasis to the axillary lymph nodes had been noted in 3 (12.5%) of the 24 reported cases of BCC of the nipple-areola complex. Thus, we applied the concept of the sentinel lymph node to detect possible metastases of axillary lymph nodes, letting us avoid the unnecessary axillary lymph node dissection and possible future morbidity.

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