1病例报告患者女,79岁。因“左侧乳腺肿物1年余,明显增大伴疼痛1月”来我院就诊。查体:双乳不对称,左侧乳房明显增大;左乳外上象限可触及一大小约10.0 cm×8.0 cm肿块,质硬,表面不光滑,活动度可,与深部组织无明显粘连,压痛明显,边界欠清,局部皮肤无溃烂及“橘皮样”变,肿物上方正中部位可触及2 cm大的淋巴结,乳头乳晕未见异常。双侧腋窝未触及明显肿大淋巴结。术前未行穿刺检查,完善相关术前检查后,2010年10月14日行“左侧乳腺癌改良根治术”。病理巨检:乳腺根治标本一件,大小9.0 cm×5.5 cm×4.0 cm, A case report patient female, 79 years old. Due to “left breast tumor more than 1 year, significantly increased with pain January ” to our hospital. Physical examination: asymmetry of breast milk, left breast significantly increased; left upper quadrant of the upper reaches of the milk can reach a size of about 10.0 cm × 8.0 cm mass, hard, smooth surface, mobility, and no obvious adhesions with deep tissue, Tenderness, border clear, local skin ulceration and “orange peel ” change, the middle of the tumor can reach 2 cm above the middle of the lymph nodes, nipple areola was no exception. Unilateral axillary did not reach significantly enlarged lymph nodes. Preoperative puncture did not check, improve the relevant preoperative examination, October 14, 2010 line “left radical mastectomy ”. Pathological giant examination: a radical breast specimens, the size of 9.0 cm × 5.5 cm × 4.0 cm,