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- W2318909722 abstract "症例は63歳の女性．左腋窩の腫瘤と疼痛を主訴に受診した．左腋窩に約8cm大のリンパ節腫大，左乳頭のびらんを認めたが，乳房に腫瘤は認めなかった．マンモグラフィでは多形，区域性の石灰化を認めた．同部の針生検では非浸潤性乳管癌（以下，DCIS），乳頭部の擦過細胞診でも悪性だった．しかし，腋窩リンパ節の生検結果は未分化癌であり，別個の病変と考えられた．全身精査で原発病変を認めず，DCISに腋窩原発不明癌が合併したものと診断した．化学療法を施行し，腋窩リンパ節の縮小が得られ，左乳房切除・腋窩リンパ節郭清術を施行した．術後に腋窩・鎖骨上下に放射線治療を行い経過観察しているが，術後2年6カ月現在，再発を認めていない．本症例のように腋窩腫瘤が主病変の場合，潜在性乳癌・悪性リンパ腫・乳房以外の悪性腫瘍の転移などが鑑別にあげられるが，治療方針決定のため，リンパ節の組織学的診断は必須と考えられた．" @default.
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- W2318909722 date "2015-01-01" @default.
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- W2318909722 title "A Case of Ductal Carcinoma in situ of the Breast with Axillary Anaplastic Carcinoma from an Unknown Primary Site" @default.
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- W2318909722 doi "https://doi.org/10.3919/jjsa.76.2116" @default.
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