International Medicine and Health Guidance News ›› 2022, Vol. 28 ›› Issue (3): 419-421.DOI: 10.3760/cma.j.issn.1007-1245.2022.03.029

• Case Report • Previous Articles     Next Articles

One case of giant breast adenosquamous carcinoma and literature review

Yu Wenlong1, Yin Xiaowei2, Yang Yuzhu3, Xu Yanmei2   

  1. 1 Department of Breast and Thyroid Surgery, Shanxian Central Hospital, Heze 274300, China; 

    2 Department of Pathology, Shanxian Central Hospital, Heze 274300, China;

    3 Department of Anesthesiology, Shanxian Central Hospital, Heze 274300, China

  • Received:2021-11-11 Online:2022-02-01 Published:2022-03-01
  • Contact: Xu Yanmei,Email: yinxiaowei2007@sina.com

巨大乳腺腺鳞癌1例并文献复习

于文龙1  殷晓伟2  杨玉柱3  许艳梅2   

  1. 1单县中心医院乳甲外科,菏泽 274300

    2单县中心医院病理科,菏泽 274300

    3单县中心医院麻醉科,菏泽 274300

  • 通讯作者: 许艳梅,Email:yinxiaowei2007@sina.com

Abstract:

Objective To explore the clinical manifestations, pathological characteristics, treatment, and prognosis of a patient with giant breast adenosquamous carcinoma, and to deepen the understanding. Methods The clinical data of a patient with giant breast adenosquamous carcinoma admitted into Shanxian Central Hospital in June 2021 were retrospectively analyzed, and the related literatures were reviewed to summarize the pathological characteristics, differential diagnosis, treatment, and prognosis. Results The patient underwent left enlarged breast resection, axillary lymph node dissection, and chest wound flap metastasis, and was diagnosed with high-grade adenosquamous carcinoma after the surgery, and no metastases in axillary lymph nodes was found. Conclusions The clinical characteristics and differential diagnosis of breast adenosquamous carcinoma are not different from other breast carcinoma. Surgery is the main treatment, and whether adjuvant chemotherapy is needed after surgery is not confirmed.

Key words: Giant breast adenosquamous carcinoma, Pathological diagnosis, Treatment, Prognosis

摘要: 目的 探讨1例巨大乳腺腺鳞癌患者的临床表现、病理特点、治疗及预后情况,以加深对其的认识。方法 回顾性分析2021年6月单县中心医院收治的1例巨大乳腺腺鳞癌患者的临床资料,并复习相关文献总结病理特点、鉴别诊断及治疗预后情况。结果 该患者行左侧乳腺扩大切除加腋窝淋巴结清扫和胸部创面皮瓣转移术,术后诊断乳腺高级别腺鳞癌,腋窝淋巴结未见癌转移。结论 乳腺腺鳞癌的临床特点、鉴别诊断与其他乳腺癌无特殊,治疗上以手术为主,术后是否需行辅助化疗,目前尚无定论。

关键词: 巨大乳腺腺鳞癌, 病理诊断, 治疗, 预后