title: Synchronous bilateral solid papillary carcinomas of the breast.
abstract: We herein report a case of synchronous bilateral solid papillary carcinoma of the breast. A 73-year-old female had a mass that was detected in the right breast on mammography. An ultrasound examination revealed one intracystic tumor in the right breast and two tumors in the left breast. A fine-needle aspiration biopsy of these three tumors was performed, which revealed a diagnosis of malignancy. A magnetic resonance imaging examination of the breasts showed diffuse small nodules surrounding these tumors bilaterally. Bilateral partial mastectomy and a sentinel lymph node biopsy were performed. Lymph node metastasis was detected in the right axilla, and additional lymph node dissection was performed. The pathological diagnosis was synchronous bilateral breast cancer, invasive ductal carcinoma NOS of the right breast, mucinous carcinomas of the left breast, and bilateral SPCs. A wide range of surgical margins were positive for SPCs, and additional bilateral total mastectomy was then performed. To the best of our knowledge, little is known about synchronous bilateral SPCs. Our case indicates that some SPCs can be widely scattered and make up a variety of invasive carcinomas. It is difficult to make a correct preoperative evaluation in such cases.
authors.affiliation: Department of Surgery, Hiroshima City Asa Hospital, Hiroshima 731-0293, Japan.
authors.forename: Noriko
authors.initials: N
authors.lastname: Yoshimura
authors.forename: Shigeru
authors.initials: S
authors.lastname: Murakami
authors.forename: Mayumi
authors.initials: M
authors.lastname: Kaneko
authors.forename: Akio
authors.initials: A
authors.lastname: Sakatani
authors.forename: Naoki
authors.initials: N
authors.lastname: Hirabayashi
authors.forename: Wataru
authors.initials: W
authors.lastname: Takiyama