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目的 探讨表现为锁骨上肿块的隐匿性乳腺癌的发病特点、诊断和治疗方法。方法 对经我院手术治疗的 7例表现为同侧锁骨上肿块的隐匿性乳腺癌的临床及病理资料进行回顾性分析。结果 行锁骨上肿块部分切除 1例 ,行锁骨上肿块切除、腋窝肿块切除、乳房切除 1例 ,锁骨上肿块切除、乳腺癌改良根治术 2例 ,锁骨上肿块切除、乳腺癌根治术 3例。结论 对原因不明的锁骨上肿块 ,应考虑到隐匿性乳腺癌的可能 ,应予切除并送病理确诊 ,锁骨上肿块转移的组织学类型可对判断肿瘤来源提供重要线索。一经确诊 ,本病宜选根治术 ,并辅助放、化疗。
Objective To investigate the characteristics, diagnosis and treatment of occult breast cancer manifesting as supraclavicular mass. Methods Retrospective analysis was performed on the clinical and pathological data of 7 cases of occult breast cancer with ipsilateral supraclavicular mass treated surgically in our hospital. Results A partial excision of the supraclavicular mass was performed in 1 case. Excision of the supraclavicular mass, axillary mass excision, mastectomy in 1 case, excision of the supraclavicular mass, modified radical mastectomy in 2 patients, excision of the supraclavicular mass and radical mastectomy in 3 patients were performed. Conclusion For the unknown cause of supraclavicular mass, the possibility of occult breast cancer should be considered. The resection should be considered and pathological diagnosis should be performed. The histological type of metastasis on the supraclavicular bone can provide important clues for judging the origin of tumor. Once diagnosed, the disease should choose radical mastectomy and assisted radiotherapy and chemotherapy.