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Case Report
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| Intracystic papillary carcinoma of the breast with invasion accompanying lymph node metastasis | ||||||
| Takaaki Fujii1, Reina Yajima1, Hiroki Morita1, Satoru Yamaguchi2, Soichi Tsutsumi1, Takayuki Asao1, Hiroyuki Kuwano1 | ||||||
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1Department of General Surgical Science, Graduate School of Medicine, Gunma University, Gunma, Japan.
2First Department of Surgery, Graduate School of Medicine, Dokkyo University, Tochigi, Japan. | ||||||
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| How to cite this article |
| Fujii T, Yajima R, Morita H, Yamaguchi S, Tsutsumi S, Asao T, Kuwano H. Intracystic papillary carcinoma of the breast with invasion accompanying lymph node metastasis. Int J Case Rep Images 2015;6(1):25–28. |
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Abstract
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Introduction:
Intracystic papillary carcinoma (IPC) is a rare malignant tumor of the breast. Generally, IPC shows no invasive growth outside of the cyst, however, it is often associated with invasive carcinoma. Thus, an accurate preoperative diagnosis of invasion or spread plays a crucial role in the management of patients with IPC.
Case Report: A 78-year-old Japanese female presented with a large right breast mass. Magnetic resonance imaging (MRI) scan showed an intracystic mass with a papillary lesion, indicating invasion. Breast conservative surgery with sentinel lymph node (SLN) biopsy was performed. Histological evaluation confirmed IPC with invasion to the outside of the cyst wall, as detected by preoperative MRI, and SLN metastasis was also detected. Conclusion: It should be noted that IPC is frequently accompanied by invasion. MRI findings may help in making a definitive diagnosis of tumor invasiveness. The SLN biopsy should be considered in cases of IPC with invasion. | |
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Keywords:
Breast, Intracystic papillary carcinoma, Invasion, Lymph node metastasis
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Author Contributions
Takaaki Fujii – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Reina Yajima – Substantial contributions to conception and design, Acquisition of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Hiroki Morita – Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published Satoru Yamaguchi – Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published Soichi Tsutsumi – Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published Takayuki Asao – Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published Hiroyuki Kuwano – Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2015 Takaaki Fujii et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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