[Surgical resection for elderly patient with skin invasion of breast cancer].
We report a locally advanced elderly breast carcinoma with skin invasion. The patient was a 96-year-old woman who had a breast lump. The palpable tumor was 3 .5 cm in diameter. Ultrasonography revealed a low echoic mass. A core needle biopsy for the breast tumor led to a diagnosis of an invasive ductal carcinoma positive for estrogen receptor and progesteron receptor, and negative for HER2/neu protein expression. She underwent a tumorectomy including the cancer invasive skin by local anesthesia. Because her respiratory function was unbearable to perform a muscle-preserving mastectomy with general anesthesia. The surgical margins of the resected specimen were negative. The clinicopathological stage, according to the UICC-pTNM classification, was Stage III C (T4b, N0, M0). After the operation, she was administered aromatase inhibitor. The patient has been well and remained disease-free during a follow-up period of 3 years. The surgical excision with local anesthesia was useful for locally advanced super senior breast cancer patients who were impossible to perform general anesthesia by various kinds of factors.
Division of Breast and Endocrine Surgery, Dept. of Surgery, Nihon University School of Medicine.
Shuhei
S
Suzuki
Kenichi
K
Sakurai
Saki
S
Nagashima
Shigeru
S
Fujisaki
Masahiko
M
Shibata
Ryouichi
R
Tomita
Yukiko
Y
Hara
Kyoko
K
Matsumoto
Katsuhisa
K
Enomoto
Sadao
S
Amano
D000369:Aged, 80 and over; D001706:Biopsy; D001943:Breast Neoplasms / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D009361:Neoplasm Invasiveness; D012878:Skin Neoplasms / Q000556:secondary / Q000601:surgery*; D014057:Tomography, X-Ray Computed