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患者,女,46岁,因右乳腺癌T_2N_0M_0于1年前行乳癌根治术,病理诊断:乳腺髓样癌,腋窝淋巴结未见转移。半年前右颌下出现直径约2.5cm大小包块,质硬,与颌下腺粘连,无痛。针吸活检查见癌细胞。全身检查排除肺、肝、椎体等远处转移。入院后行肿块扩大切除及颈淋巴清扫术。术后病理诊断:右颌下淋巴结病理所见与原乳癌手术标本完全一致,并侵及颌下
Patients, female, 46 years old, because of right breast cancer T_2N_0M_0 in 1 year ago underwent radical mastectomy, pathological diagnosis: breast medullary carcinoma, axillary lymph node metastasis. Six months ago, the right mandibular diameter of about 2.5cm in size mass, hard, and submandibular gland adhesion, painless. Needle biopsy to see cancer cells. Whole body check rule lung, liver, vertebral distant metastasis. After admission, the tumor was enlarged and resected and the neck dissection was performed. Postoperative pathological diagnosis: the pathological findings of the right submandibular lymph node and the original surgical specimens of breast cancer are exactly the same, and invade the submandibular