A case of an elderly individual with breast cancer diagnosed as Paget's disease after mastectomy

  • Hitomi Kubota
  • , Yuna Suzuki
  • , Keita Adachi
  • , Shuhei Suzuki
  • , Yukiko Hara
  • , Shigeru Fujisaki
  • , Makoto Makishima
  • , Reina Saga
  • , Tomohiro Hirano
  • , Kenichi Sakurai

Research output: Contribution to journalReview articlepeer-review

Abstract

We report here a case of a 78-year-old woman, who underwent mastectomy for breast cancer. Mammography showed a mass in the right MO area with an unclear boundary. Ultrasound examination revealed an irregular mass of 40×29×19 mm in the right C region. Dynamic contrast-enhanced MRI showed a 34 mm tumor with contrast effect in the C area of the right breast. We performed a core needle biopsy on the mass, and the histopathological diagnosis was apocrine carcinoma (ER-, PgR-, HER2 3+, and Ki-67 30%) of clinical T2N0M0, stage HA. Right mastectomy and sentinel lymph node biopsy were performed. In the postoperative pathological examination, the main lesion was apocrine carcinoma (ER-, PgR-, HER2 3+, Ki-67 20%) and Paget's disease (ER-, PgR-, HER2 3+, Ki-67 30%). After surgery, the patient was given trastuzumab therapy.

Original languageEnglish
Pages (from-to)814-816
Number of pages3
JournalJapanese Journal of Cancer and Chemotherapy
Volume46
Issue number4
Publication statusPublished - Apr 2019

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