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- W2313597686 abstract "患者は59歳女性で，34歳時，左B領域の乳癌で乳房切除・腋窩リンパ節郭清を受けた．T1（1.0×0.8cm），N0，M0，病期I，充実腺管癌であった．乳癌術後13年，血中CEAが14ng/mlと上昇，CTで肝S4に大きさ3.5cmの多血性の腫瘤がみられた．乳癌肝転移の診断で肝左葉切除を施行した．摘出標本では5個の腫瘍がみられ，いずれも肝鎌状間膜の近傍に存在した（S4;2個，大きさ3.5cm，1.2cm，外側区域:3個，大きさ0.5-0.7cm）．病理検索で肝腫瘍は乳癌の肝転移と診断され，ER（+），PgR（+）であった．術後CEF療法，エキセメスタン内服を行い，肝切除後12年再発なく健在である．原発乳癌の部位がB領域で，すべての肝転移巣が肝鎌状間膜近くに存在しており，転移経路として乳房から腹直筋を通って肝鎌状間膜近傍の肝臓へ至るリンパ路を介したリンパ行性肝転移の可能性が考えられた．" @default.
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- W2313597686 date "2014-01-01" @default.
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- W2313597686 title "A Case Report of 12-year Disease-free Suvival after Hepatectomy for Breast Cancer Metastases Subsequent to 13-year Disease-free Survival from the Initial Cancer" @default.
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- W2313597686 doi "https://doi.org/10.3919/jjsa.75.1506" @default.
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