A CASE OF NONINVASIVE APOCRINE CARCINOMA OF THE BREAST

Noninvasive apocrine carcinoma is a rare disease, and is not defined by the ‘General Rules for Clinical and Pathological Recording of Breast Cancer’ adopted by Japanese Breast Cancer Society. A 72-year-old woman had a periodic checkup for breast cancer, and a lump was pointed out in her left breast....

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Published inNihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) Vol. 67; no. 7; pp. 1514 - 1517
Main Authors NEGISHI, Nanao, NEMOTO, Norimichi, AMANO, Sadao, ENOMOTO, Katsuhisa, SAKURAI, Kenichi, MATSUO, Sadanori
Format Journal Article
LanguageEnglish
Published Japan Surgical Association 2006
Online AccessGet full text
ISSN1345-2843
1882-5133
1882-5133
DOI10.3919/jjsa.67.1514

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Abstract Noninvasive apocrine carcinoma is a rare disease, and is not defined by the ‘General Rules for Clinical and Pathological Recording of Breast Cancer’ adopted by Japanese Breast Cancer Society. A 72-year-old woman had a periodic checkup for breast cancer, and a lump was pointed out in her left breast. She was given fine-needle aspiration biopsy cytology, and the tumor was diagnosed as malignant, and she visited our hospital for an operation. The tumor was palpated as a hard, elastic, smooth-surfaced, and movable mass measuring 10mm in diameter in the upper (AC-region) of her left breast. Mammography did not reveal a tumor shadow. Ultrasonography showed in hypoechoic mass in the left breast. A wide excision and sentinel lymph node biopsy was performed. The histopathological diagnosis was a noninvasive apocrine carcinoma. There was no metastasis of the sentinel lymph node. Both estrogen receptor and progesterone receptor were negative. The HER2 score was 3. She had no recurrence as of 4.5 years after surgery.
AbstractList Noninvasive apocrine carcinoma is a rare disease, and is not defined by the ‘General Rules for Clinical and Pathological Recording of Breast Cancer’ adopted by Japanese Breast Cancer Society. A 72-year-old woman had a periodic checkup for breast cancer, and a lump was pointed out in her left breast. She was given fine-needle aspiration biopsy cytology, and the tumor was diagnosed as malignant, and she visited our hospital for an operation. The tumor was palpated as a hard, elastic, smooth-surfaced, and movable mass measuring 10mm in diameter in the upper (AC-region) of her left breast. Mammography did not reveal a tumor shadow. Ultrasonography showed in hypoechoic mass in the left breast. A wide excision and sentinel lymph node biopsy was performed. The histopathological diagnosis was a noninvasive apocrine carcinoma. There was no metastasis of the sentinel lymph node. Both estrogen receptor and progesterone receptor were negative. The HER2 score was 3. She had no recurrence as of 4.5 years after surgery.
Author NEGISHI, Nanao
NEMOTO, Norimichi
SAKURAI, Kenichi
MATSUO, Sadanori
ENOMOTO, Katsuhisa
AMANO, Sadao
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References_xml – reference: 5) 坂元吾偉:乳腺腫瘍病理アトラス,篠原出版,東京, 1987, p70-71
– reference: 6) Bland KI, Copeland III EM: The Breast. Comprehensive management of benign and malignant disease. WB Saunders Company, Philadelphia, 1991, p202
– reference: 13) Rosen PP: Rosen's Breast Pathology. 2nd Edition, Lippincott Williams & Wilkins, Philadelphia, 2001, p483-495
– reference: 1) 日本乳癌学会編:臨床・病理乳癌取扱い規約.第15版,金原出版,東京, 2004
– reference: 8) 沢田晃暢,坂元吾偉,秋山 太他:乳腺の同時両側性アポクリン化生癌(浸潤癌と非浸潤癌)の1例.乳癌の臨 10: 203-206, 1995
– reference: 14) 山下 巌,広川慎一郎,唐木芳昭他:非浸潤性アポクリン癌の1例.乳癌の臨 11: 357-360, 1996
– reference: 3) 青柳秀忠,石田常博,山田 勲:乳腺アポクリン癌10例の臨床病理学的検討と本邦報告例の集計.癌の臨 36: 681-690, 1990
– reference: 11) 沖野秀宣,島田和生,渡辺次郎他:広範囲に進展したアポクリン非浸潤性乳管癌の1切除例.日臨外会誌 67: 592-596, 2006
– reference: 15) 和田徳昭,藤崎真人,小島 勝他:アポクリン化生を示した非浸潤性乳管癌の1例.日臨外会誌 59: 2005-2008, 1998
– reference: 10) 池田雅彦,紅林淳一,園尾博司他: Dynamic MRIにて広範な乳管内進展を予測した乳腺非浸潤性アポクリン癌の1例.日臨外会誌 65: 3148-3151, 2004
– reference: 2) 泉雄 勝,遠藤敬一,久野敬二郎他: UICC乳癌調査(TNM分類)小委員会による乳癌全国集計成績.癌の臨 28: 111-121, 1982
– reference: 4) 小林浩司,佐野宗明,牧野春彦:乳腺アポクリン癌の2例-本邦報告39例の集計-.日臨外医会誌 56: 961-966, 1995
– reference: 12) Tavassoli FA, Norris HJ: Intraductal apocrine carcinoma, A clinicopathologic study of 37 cases. Modern Pathology 7: 813-818, 1994
– reference: 9) 岡本 康,炭山嘉伸,作田 誠他: 8年を経過して診断された乳腺非浸潤性アポクリン癌の1例.日臨外会誌 62: 1403-1408, 2001
– reference: 16) 柄松章司,伊藤和子,中島義明他:乳腺アポクリン癌の3例.乳癌の臨 14: 58-63, 1999
– reference: 7) Histological Typing of Breast Tumors. 2nd ed., World Health Organization, Geneva, 1981. Ann Pathol 2: 91-105, 1982
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