中国实用外科杂志
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郑新宇,马 帅
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由于传统的影像学检查无法定位原发肿瘤,诊断和治疗隐匿性乳腺癌(OBC)仍具有挑战性。根据定义,乳腺X线和超声技术无法检查到OBC。核磁共振成像对发现乳腺癌具有高的敏感性,但特异性较低。尽管近期文献支持应用全乳放疗的方法进行治疗,但多数医生仍倾向使用全乳切除术。当证实为腋窝淋巴结OBC转移时,如何恰当处理乳房仍是一个有争议的问题。
关键词: 隐匿性乳腺癌, 腋窝淋巴结转移癌
Abstract:
Diagnosis and treatment of occult breast cancer ZHENG Xin-yu, MA Shuai. Department of Breast Surgery, First Affiliated Hospital, China Medical University, Shenyang 110001, China. Corresponding author:ZHENG Xin-yu,E-mail:xyzheng@mail.cmu.edu.cn Abstract The diagnosis and therapy of patients with occult breast cancer (OBC) is still a challenging for us since inability to localize the primary tumor by using conventional imaging. OBC is not detected on mammography and ultrasound based on the definition. Magnetic resonance imaging has a high sensitivity for the detection of breast cancer but with lower specificity. Although recent literature supports the use of whole breast radiation, the majority of surgeons still prefer mastectomy. The appropriate treatment of the breast after an axillary presentation of OBC continues to be a controversial issue.
Key words: occult breast cancer, armpit lymph node metastatic carcinoma
郑新宇,马 帅. 隐匿性乳腺癌诊断与治疗[J]. 中国实用外科杂志.
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