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患者,女性,69岁,因发现右乳肿物20余天于2006年4月19日入院。查体:右乳外上象限可触及一约2cm×2cm大小肿物,质硬,无触痛,表面光滑,无结节,可推动,与周围组织及皮肤无粘连,界清,乳头无凹陷,腋窝未触及肿大淋巴结。乳腺超声示:右乳外上象限可探及2cm×2cm低回声团块,界清,其内可见不规则液性暗区。完善术前检查后,在局麻下右乳肿物切除(区段切除)加冰冻活检术。术中病理回报“恶性肿瘤---考虑乳腺骨肉瘤”。随即在全麻下行右乳腺切除(包括胸大乳筋膜一并切除)。术后病理报告:“右乳腺原发性骨肉瘤”乳腺四个象限阴性,区域淋巴结未见癌转移0/37。
Patient, female, 69 years old, was admitted to hospital on April 19, 2006 after finding more than 20 days of right breast lumps. Physical examination: the right upper quadrant of the upper quadrant can reach a size of about 2cm × 2cm tumor, hard, no tenderness, smooth surface, no nodules, can promote adhesion with the surrounding tissue and skin, clear, nipple without depression , Axillary did not touch the enlarged lymph nodes. Breast ultrasound shows: the right upper quadrant of the outer quadrant can be detected and 2cm × 2cm hypoechoic mass, clear boundary, which can be seen irregular liquid dark area. Perfecting the preoperative examination, under local anesthesia, right breast tumor resection (section excision) plus frozen biopsy. Intraoperative pathological findings “Malignant tumor - consider breast osteosarcoma ”. Immediately under general anesthesia right mastectomy (including large breast fascia laparoscopic resection). Postoperative pathology report: “right breast primary osteosarcoma ” breast quadrant negative, regional lymph node metastasis 0/37.