対側頸部リンパ節転移した乳腺metaplastic carcinomaの1例

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  • A case of resectable cervical lymph-node metastasis of metaplastic breast cancer
  • ショウレイ タイガワ ケイブ リンパセツ テンイ シタ ニュウセン metaplastic carcinoma ノ 1レイ

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A 51-year-old woman underwent partial mastectomy and axillary lymph-node dissection after neoadjuvant chemotherapy with trastuzumab and paclitaxel for left breast cancer. The tumor was positive for estrogen receptor, progesterone receptor and HER2. She was treated with trastuzumab for 1 year. The patient developed a huge and rapidly growing right cervical mass 34 months after the operation. Chemotherapy with fluorouracil-epirubicin-cyclophosphamide was administered, but the tumor increased in size. Therefore, we performed right cervical lymph-node dissection. Pathological diagnosis was metaplastic carcinoma metastasis that was triple negative. Then, the patient received radiation at the right neck and has been administered chemotherapy with capecitabine and cyclophosphamide after the operation. The patient has been doing well without evidence of recurrence, for 2 years.

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