title: [A case of breast cancer detected by MRI mammography after Hollywood syndrome].
abstract: A-64-year-old woman, who had been treated with augmentation mammaplasty 40 years ago, came to our hospital complaining of left breast pain. The mass was ill-defined, located in the upper outer quadrant area of her breast, and was 2 cm in diameter. MRI examination showed that the tumor had a spiculation and an irregular edge. There were no regional lymph nodes in her axilla and supra-subscapular. The diagnosis was Class IV by the fine needle aspiration biopsy cytology. We diagnosed the left breast cancer being in T2N0M0, Stage IIA, then we carried out Bt (Auchincloss method) and Sentinel lymph node biopsy (SLNB). There were metastatic cancer cells in the sentinel lymph node. So, we added level II lymph nodes dissection. The histological diagnosis was papillotubular carcinoma, f+, n+ (8/11). The endocrine receptor status of the tumor was ER+, PgR+ and the HER2/neu score was 0. There was paraffinoma in the non-cancer area. We dosed 6 cycles of FEC chemotherapy (CPA 800 mg, EPI 80 mg, 5-FU 750 mg/body x 1 cycle). We recognized no side effects of the chemotherapy for the patient.
authors.affiliation: Division of Breast and Endocrine Surgery, Nihon University School of Medicine.
authors.forename: Akira
authors.initials: A
authors.lastname: Kitajima
authors.forename: Sadao
authors.initials: S
authors.lastname: Amano
authors.forename: Kenichi
authors.initials: K
authors.lastname: Sakurai
authors.forename: Katsuhisa
authors.initials: K
authors.lastname: Enomoto
authors.forename: Sadanori
authors.initials: S
authors.lastname: Matsuo
authors.forename: Nanao
authors.initials: N
authors.lastname: Negishi
authors.forename: Toshimichi
authors.initials: T
authors.lastname: Oinuma
authors.forename: Norimichi
authors.initials: N
authors.lastname: Nemoto
mesh_terms: D000230:Adenocarcinoma / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D000971:Antineoplastic Combined Chemotherapy Protocols; D018427:Breast Implants; D001943:Breast Neoplasms / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D002291:Carcinoma, Papillary / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D003520:Cyclophosphamide; D015251:Epirubicin; D005260:Female; D005472:Fluorouracil; D006801:Humans; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D021701:Sentinel Lymph Node Biopsy
chemical_list: D015251:Epirubicin; D003520:Cyclophosphamide; D005472:Fluorouracil