[Surgical resection for elderly patient with skin invasion of breast cancer].

Abstract

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.

• Authors: Shuhei Suzuki, Kenichi Sakurai, Saki Nagashima, Shigeru Fujisaki, Masahiko Shibata, Ryouichi Tomita, Yukiko Hara, Kyoko Matsumoto, Katsuhisa Enomoto, Sadao Amano
• Journal: Gan to kagaku ryoho. Cancer & chemotherapy (Gan To Kagaku Ryoho) Vol. 38 Issue 12 Pg. 2011-3 (Nov 2011) ISSN: 0385-0684 [Print] Japan
• PMID: 22202268 (Publication Type: Case Reports, English Abstract, Journal Article)

Topics

• Aged, 80 and over
• Biopsy
• Breast Neoplasms (pathology, surgery)
• Female
• Humans
• Neoplasm Invasiveness
• Skin Neoplasms (secondary, surgery)
• Tomography, X-Ray Computed