問題解説・システム開発 : 内科医 米澤昌紘(れく)
A 42-year-old woman came to your clinic, anxious about a mass in her left breast.On physical examination, the mass was hard and fixed neither to skin nor to muscle.No axillary lymph nodes were palpated on either side. Mammography showed a 2.5-cm lesion with spiculae. Histo-pathological findings from the biopsy showed an invasive ductal carcinoma. No metastases were detected on chest/abdominal CT or on bone scintigraphy.
What is the most appropriate plan at present?
a. Breast surgery
b. Estrogen administration
c. NSAID administration
d. Observation
e. Whole body irradiation
【日本語訳】
42歳の女性が左乳房の腫瘤を気にして来院した。マンモグラフィでは2.5cmの病変を認めた。生検の病理組織学的所見は浸潤性管状癌であった。胸部・腹部CTや骨シンチグラフィでは転移は認められなかった。
現時点で最も適切な計画は何か?
答えは a 乳房の外科手術