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  1. 紀要
  2. 滋賀医科大学雑誌
  3. 第30巻, 2017
  4. 第1号(医学編)

乳腺アポクリン癌15例の臨床病理学的検討

http://hdl.handle.net/10422/00012303
http://hdl.handle.net/10422/00012303
c4267ed5-98ec-468b-91b1-a1e942c60cdd
名前 / ファイル ライセンス アクション
jsums3001p085.pdf jsums3001p085 (637.0 kB)
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Item type 紀要論文 / Departmental Bulletin Paper(1)
公開日 2017-07-03
タイトル
タイトル 乳腺アポクリン癌15例の臨床病理学的検討
言語
言語 jpn
キーワード
主題Scheme Other
主題 乳癌
キーワード
主題Scheme Other
主題 アポクリン癌
キーワード
言語 en
主題Scheme Other
主題 breast cancer
キーワード
言語 en
主題Scheme Other
主題 apocrine carcinoma
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ departmental bulletin paper
その他のタイトル
その他のタイトル A clinicopathological study of 15 cases of Apocrine breast cancer
タイトル(ヨミ)
その他のタイトル ニュウセン アポクリン ガン 15 レイ ノ リンショウ ビョウリ ガク テキ ケントウ
著者 北村, 美奈

× 北村, 美奈

WEKO 404
e-Rad 10587934

北村, 美奈

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森, 毅

× 森, 毅

WEKO 408

森, 毅

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梅田, 朋子

× 梅田, 朋子

WEKO 218
e-Rad 10402736

梅田, 朋子

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河合, 由紀

× 河合, 由紀

WEKO 365
e-Rad 10581944

河合, 由紀

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冨田, 香

× 冨田, 香

WEKO 406
e-Rad 00584400

冨田, 香

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清水, 智治

× 清水, 智治

WEKO 268
e-Rad 70402708
ORCID 0000-0002-2858-0786

清水, 智治

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谷, 眞至

× 谷, 眞至

WEKO 696
e-Rad 60236677
ORCID 0000-0003-1270-6003

谷, 眞至

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内容記述
内容記述タイプ Other
内容記述 The clinicopathological features of apocrine carcinoma (AC) have not been fully characterized till date owing to its rare occurrence. We retrospectively reviewed data from 15 AC cases.

Materials: Of 817 patients treated for primary breast carcinoma, we reviewed the data of 15 patients, who had been histologically diagnosed as AC. The expression of estrogen receptor (ER), progesterone receptor (PgR), and human epidermal growth factor receptor 2 (HER2) as well as Ki67 index were immunohistochemically evaluated. Fluorescence in situ hybridization was conducted for cases with equivocal immunohistochemical findings.

Results: Of the 15 AC patients, 13 were menopausal, and the average age of the patients was 63.7 years. Two cases involved sequential or simultaneous bilateral development of breast cancer. Review of staging data revealed that stage 0 was 2 cases, I was seven and II was six, respectively. According to intrinsic subtype classification, one lesion was classified as luminal A, one as HER2-positive, and 13 as triple-negative lesions. Lymphatic and venous invasion were observed in eight and five cases, respectively. Among 7 patients who measured Ki67 labeling index, one case was strongly positive. As for adjuvant postoperative treatment, hormone therapy was administered in one case, anti-HER2 therapy in one case, and chemotherapy in 11 cases. No case received neo-adjuvant chemotherapy. Radiation therapy was performed in all cases after partial mastectomy. No recurrence was observed in any case with a mean follow-up period of 67.4 months.

Conclusions: AC is a rare primary breast cancer characterized by an ER- and PgR-negative profile, with infrequent overexpression of HER2 protein. Although associated with a good prognosis in the present series, AC appears to be overtreated. Because AC may develop bilaterally more frequently than general invasive ductal carcinomas, particular care needs to be taken in continued monitoring of AC and other malignant lesions.
書誌情報 滋賀医科大学雑誌

巻 30, 号 1, p. 85-89, 発行日 2017-03-10
出版者
出版者 滋賀医科大学雑誌編集委員会
ISSN
収録物識別子タイプ ISSN
収録物識別子 0912-3016
著者版フラグ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
資源タイプ
内容記述タイプ Other
内容記述 Departmental Bulletin Paper
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