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隐匿性乳腺癌多以同侧腋窝淋巴结肿大为首发症状,临床少见,诊断是其难点。诊断过程建议先行肿大淋巴结空芯针穿刺,并加做免疫组化,如支持乳腺癌转移,同时排除其他部位原发肿瘤后可确诊。治疗以全乳切除加腋窝淋巴结清扫术为标准,新辅助化疗是影响其预后的独立因素,术前推荐先行新辅助化疗,术后根据免疫组化结果,辅以化疗、放疗、内分泌治疗等。隐匿性乳腺癌的预后与同期其他类型的乳腺癌相似。
Occult breast cancer mostly in the ipsilateral axillary lymph nodes as the first symptom, clinical rare, the diagnosis is its difficulty. Diagnostic process is recommended first hollow core needle puncture, and plus do immunohistochemistry, such as support for breast cancer metastasis, while excluding other parts of the primary tumor can be diagnosed. Neon adjuvant chemotherapy is an independent factor affecting the prognosis of the patients treated with complete mastectomy plus axillary lymph node dissection. Neoadjuvant chemotherapy is recommended before surgery, and postoperative chemotherapy, radiotherapy and endocrine therapy are based on the results of immunohistochemistry. The prognosis of occult breast cancer is similar to other types of breast cancer in the same period.