The Results of Occult Breast Carcinoma Treated with Axillary Node Dissection Only: Five Cases Reports
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Herein, we report five cases of occult breast cancer treated with axillary node dissection only, without breast surgery or whole breast radiotherapy. The patients complained of a large, hard mass in the axillary area, although no breast masses were palpable. Biopsy of the axillary mass was performed in each case, and histological examination showed a metastatic carcinoma. No malignant findings were observed by mammography or ultrasonography. Magnetic resonance imaging and systemic examinations revealed no extramammary primary lesions. All patients underwent axillary lymph node dissection without breast surgery, and were administered adjuvant chemotherapy but not whole breast radiation therapy. The median follow-up period was 56 months (range, 15–241 months). The patients were all alive with no evidence of disease at the end of the follow-up period.
Abstract
Herein, we report five cases of occult breast cancer treated with axillary node dissection only, without breast surgery or whole breast radiotherapy. The patients complained of a large, hard mass in the axillary area, although no breast masses were palpable. Biopsy of the axillary mass was performed in each case, and histological examination showed a metastatic carcinoma. No malignant findings were observed by mammography or ultrasonography. Magnetic resonance imaging and systemic examinations revealed no extramammary primary lesions. All patients underwent axillary lymph node dissection without breast surgery, and were administered adjuvant chemotherapy but not whole breast radiation therapy. The median follow-up period was 56 months (range, 15–241 months). The patients were all alive with no evidence of disease at the end of the follow-up period.
참고문헌 (13)
- Merson M, "Breast carcinoma presenting as axillary metastases without evidence of a primary tumor", Cancer, 70, pp.504~508 (1992)
- Kyokane T, "Clinicopathological characteristics of non-palpable breast cancer presenting as axillary mass", Breast Cancer, 2, pp.105~112 (1995)
- Baron PL, "Occult breast cancer presenting with axillary metastases: updated management", Arch Surg, 125, pp.210~214 (1990)
- Halsted WS, "The results of radical operations for the cure of carcinoma of the breast", Ann Surg, 46, pp.1~19 (1907)
- Takabatake D, "Two cases of occult breast cancer in which PET-CT was helpful in identifying primary tumors", Breast Cancer, 15, pp.181~184 (2008)
- Montagna E, "Immunohistochemically defined subtypes and outcome in occult breast carcinoma with axillary presentation", Breast Cancer Res Treat, 129, pp.867~875 (2011)
- Tan KP, "The comparative accuracy of ultrasound and mammography in the detection of breast cancer", Med J Malaysia, 69, pp.79~85 (2014)
- Kim YH, "The clinical significance of standardized uptake value in breast cancer measured using 18F-fluorodeoxyglucose positron emission tomography", computed tomography, 2015, pp.36, 790~794
- Berg WA, "Diagnostic accuracy of mammography, clinical examination, US, and MR imaging in preoperative assessment of breast cancer", Radiology, 233, pp.830~849 (2004)
- Wang J, "Treatment outcomes of occult breast carcinoma and prognostic analyses", Chin Med J, 126, pp.3026~3029 (2013)
- Wang X, "Clinical benefits of mastectomy on treatment of occult breast carcinoma presenting axillary metastases", Breast J, 16, pp.32~37 (2010)
- 우상민, "Survival Outcomes of Different Treatment Methods for the Ipsilateral Breast of Occult Breast Cancer Patients with Axillary Lymph Node Metastasis: A Single Center Experience", Journal of Breast Cancer, 16(4), pp.410~416 (2013), 한국유방암학회
- Barton SR, "The role of ipsilateral breast radiotherapy in management of occult primary breast cancer presenting as axillary lymphadenopathy", Eur J Cancer, 47, pp.2099~2106 (2011)