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Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.12001/24356

 
Title :ペースメーカー留置側に発症した異時両側性乳癌の1例
Title alternative :Metachronous bilateral breast cancer presenting at the site of an implanted pacemaker: report of a case
Authors :藤澤, 重元
堤, 綾乃
野村, 寛徳
照屋, 淳
國仲, 弘一
西巻, 正
Authors alternative :Fujisawa, Shigemoto
Tsutsumi, Ayano
Nomura, Hironori
Kuninaka, Kouichi
Teruya, Jun
Nishimaki, Tadashi
Authors affiliation :Department of Digestive and General Surgery, Graduate school of Medicine, University of the Ryukyus
Department of surgery, Northern Okinawa Medical Center
Department of breast surgery, Heartlife Hospital
Issue Date :2018
Publisher :琉球医学会
Type Local :雑誌掲載論文
Type (NII) :Journal Article
ISSN :1346-888X
Abstract :A 72-years-old woman presented with breast cancer at the site of pacemaker implantation. She had undergone left pectoral muscle-preserving mastectomy and axillary lymph node dissection for left breast cancer at the age of 56 years. A mass measuring 1.0 cm in diameter was palpable in the C region of the right breast. Mammography, ultrasonographic examination, and core-needle biopsy led to a diagnosis of left breast scirrhous carcinoma. She had a history of Mobitz type Ⅱatrioventricular block, and undergone implantation of a pacemaker via the subclavian route 1 year ago. The cancer was not adjacent to the pacemaker, but was at a distance of 7.5cm. Thus, we performed mastectomy and sentinel lymph node biopsy, without pacemaker reimplantation or generator and lead injury, using indigo carmine marking and an ultrasonic scalpel. Only 3 such cases have been reported in the Japanese literature in the past 20 years. We report the present case with a review of the literature and discuss the operative procedure and adjuvant therapy, including radiotherapy.
Rights :琉球医学会
URI :http://hdl.handle.net/20.500.12001/24356
Citation :琉球医学会誌 = Ryukyu Medical Journal Vol.37 no.1-4 p.105 -110
Appears in Collections:Ryukyu Medical Journal

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