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1病例报告患者女,65岁。因右乳房无痛性多发包块5d于2011-10-22入院。查体:右乳房内上象限触及2个自乳头放射状分布包块,分别约1.8cm×1.0cm和1.5cm×0.8cm,相距约1.5cm,质硬,表面欠光滑,边界不清,无触痛,表面皮肤无橘皮样变,基底部可活动,同侧腋窝未触及肿大淋巴结。血常规、肝肾功和胸片未见异常。彩色多普勒超声检查示,右乳腺内上象限可见2个不均质回声包块,约1.7cm×1.0cm和1.4cm×0.7cm,相距约1.6cm,边界不清,形态不规则,内有强弱不均匀回声,较大者内部可见斑点状强回声及明显血流信号(图1)。右腋窝可见约1.1cm×0.5cm大小低回声包块,边界清,呈“假肾”样,内部可见血流信号。临床诊断为右侧乳腺癌,cT1N0M0。于2011-10-24在局麻下行包块切除术,术中见
A case report patient female, 65 years old. Because of the right breast painless multiple block 5d in 2011-10-22 admission. Physical examination: the upper quadrant of the right breast touches two radioluly distributed mass from the nipple, respectively about 1.8cm × 1.0cm and 1.5cm × 0.8cm, about 1.5cm apart, hard quality, the surface is not smooth, the boundary is unclear, no touch Pain, no cellulite on the surface of the skin-like changes, the Ministry of the base can move, ipsilateral axillary cancer did not touch the enlarged lymph nodes. Blood, liver and kidney function and chest X-ray showed no abnormalities. Color Doppler ultrasound examination shows that the upper quadrant of the right breast can be seen two non-homogeneous echogenic mass, about 1.7cm × 1.0cm and 1.4cm × 0.7cm, separated by about 1.6cm, the boundary is unclear, irregular shape, within There is uneven or weak echo, the larger spot visible within the strong echo and significant blood flow signal (Figure 1). The right axilla shows a size of about 1.1cm × 0.5cm low echo mass, the border clear, was “false kidney” -like, internal visible blood flow signal. Clinical diagnosis of right breast cancer, cT1N0M0. In 2011-10-24 under local anesthesia mass excision, intraoperative see