PMID: 25731361Mar 4, 2015Paper

A difficult diagnosis of asynchronous both side breast cancers

Gan to kagaku ryoho. Cancer & chemotherapy
Shuhei SuzukiShigeru Fujisaki

Abstract

A 53-years-old woman was diagnosed with left breast cancer (T2N0M0, Stage IIA) and underwent breast conserving surgery and axillaryly mph nodes resection. She was administered 2 courses of chemotherapy consisting of cyclophosphamide, methotrexate, and fluorouracil (CMF) and received a total of 50 Gy of radiation therapy as adjuvant therapy. Ultrasonography of the right breast, performed 2 years after the first operation, detected a tumor 7 mm in diameter. A core needle biopsy of the tumor was performed. The pathological diagnosis was fibroadenoma. The patient's whole body was checked for metastatic legions, but none were found. Right axillary lymph node swelling was detected 9 years after her first operation, and a surgical biopsy was performed. Frozen section analysis indicated that it was metastasis from the breast cancer. A further surgical biopsy was performed on the right breast mass. Frozen section analysis indicated the tumor was invasive ductal carcinoma within a fibroadenoma. Breast conserving surgeryand axillaryly mph node dissection were performed for the right breast cancer. The final permanent pathological diagnosis of the right breast was invasive ductal carcinoma within fibroadenoma ( T2N1M0, Stage IIB), negative...Continue Reading

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