Prikaz bolesnice s minimalno invazivnim duktalnim rakom dojke

A forty-three-year-old patient was admitted for occasional blood-tinged discharge from the right breast. Clinical testings comfirmed a justified suspicion of a malignant process in the right breast. Galactoforectomy was performed, and the pathohistological analysis of the material thus obtained confirmed the diagnosis of invasive ductal carcinoma of the breast. The mentioned tumor lesion, measured using an ocular micrometer, was 1.5 mm in diameter, and beside it intraductal carcinomas in situ were also found. Following such a histologic finding, the surgical treatment was extended to include quadrantectomy. Pathohistologic serial sections of the removed extra portion of the breast showed no evidence of residual tumor. Adjuvant radiotherapy plus hormonal therapy are recommended to additionally improve an already good prognosis of the disease.Četrdesettrogodišnja bolesnica primljena je u Kliniku zbog povremenog sukrvavog iscjetka iz desne dojke. Nakon provedene kliničke obrade zaključi se da postoji opravdana sumnja na maligni proces u desnoj dojci. Učinjena je galaktoforektomija, a patohistološkom obradom dobivenog materijala dokazano je da se radi o duktalnom invazivnom karcinomu dojke. Spomenuta tumorska promjena izmjerena okularnim mikrometrom, imala je promjer 1,5 mm, a uz nju nađu se i intraduktalni karcinomi in situ. Nakon takvog histološkog nalaza kirurški zahvat se proširi kvadrantektomijom. Serijskim patohistološkim rezovima dodatno uklonjenog dijela dojke više se ne nađe tumorskog tkiva. Preporučeno je dodatno liječenje zračenjem i hormonskom terapijom, što će dodatno poboljšati povoljnu prognozu bolesti