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001-es BibID:	BIBFORM073046
Első szerző:	Varga Zsolt József (orvos)
Cím:	Breast Cancer in Surgical Site : unusual Presentation of an Ectopic Milk Line Malignancy / Zsolt Varga, Miklós Török, Éva Sebő, Judit Tóth, Dezső Tóth
Dátum:	2016
Megjegyzések:	Primary ectopic breast cancer is a rare entity, which is mistaken for other benign skin or soft tissue lesions, easily.A 56-year old woman with history of laparoscopic cholecystectomy was referred to outpatient clinic 3 years after the operation with a non- healing reddish lump in the surgical scar. The lesion was situated at the site of the right subcostal port, in the medioclavicular line, below the ribcage. Local excision was performed and histological evaluation revealed poorly differentiated adenocarcinoma, which was thought to be metastatic. After multiple recurrences, appearance of an axillary lymph node metastasis and persistent search without any sign of other tumor, it had to be considered as a possibility, if there is no distant source of metastases, rather than a the lesion is a primary cancer. Relying on its location, behavior and result of immunohistochemistry, multidisciplinary team identi ed the lesion as triple-negative ectopic breast cancer. We performed a radical excision extended to the peritoneum, including partial, 3 cm long resection of the eleventh rib and a level II. Right-sided axillary block dissection was done simultaneously. The abdominal wall was reconstructed with component separation technique combining polypropylene and polytetra uoroethylene meshes. The multidisciplinary team proposed a treatment for triple- negative ectopic milk-line breast cancer, containing 4 cycles of TAC chemotherapy and fractionated 50 Gray dose of local radiotherapy. This adjuvant oncological treatment is in progress.This entity should be considered in differential diagnosis in cases of adenocarcinomas close to normal breasts and in the line of embryonic mammary ridges. So, we can avoid a signi cant delay in treatment and we can offer a better prognosis for the patient.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban Breast cancer Ectopic breast Aberrant breast tissue Milk line Surgery
Megjelenés:	International Journal of Cancer and Clinical Research. - 3 : 1 (2016), p. 1-3. -
További szerzők:	Török Miklós (1976-) (pathológus) Sebő Éva Tóth Judit Tóth Dezső (1972-) (sebész, onkológus)
Internet cím:	Szerző által megadott URL Intézményi repozitóriumban (DEA) tárolt változat
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