右乳浸润性乳腺癌合并肝泡型包虫病1例  

A case of invasive breast cancer in the right breast combined with hepatic alveolar echinococcosis

作　　者：马晓俊 唐慧 张舒[2] 张鑫 MA Xiaojun;TANG Hui;ZHANG Shu;ZHANG Xin(Oncology Department,the People's Hospital of Ganzi Tibetan Autonomous Prefecture,Kangding 626000;Head and Neck Oncology Department,West China Hospital,Sichuan University,Chengdu 610041,China)

机构地区：[1]甘孜藏族自治州人民医院肿瘤科,四川康定626000 [2]四川大学华西医院头颈肿瘤科,四川成都610041

出　　处：《临床医学研究与实践》2025年第11期13-16,共4页Clinical Research and Practice

基　　金：四川省自然科学基金项目(No.2024NSFSC0058);甘孜州科技计划项目(No.23kjjh0014)。

摘　　要：乳腺癌在女性癌症的发病率和死亡率中均居前列,对女性的生命健康构成严重威胁。肝泡型包虫病是一种罕见且严重的人畜共患寄生虫感染疾病,与肝脏恶性肿瘤的生长方式类似,呈浸润性生长,也被称为“虫癌”。在疫源区存在恶性肿瘤合并包虫感染的情况,但目前国内外对包虫与肿瘤之间的相互影响不明确且均呈现双向性。本文报道一例激素受体(HR)阳性的晚期乳腺癌合并肝泡型包虫病感染病例,虽然都存在机械占位、组织破坏、远处转移等病理特点,但是在治疗过程中肿瘤和包虫均取得良好治疗效果,且未增加或加重治疗相关不良反应。本文通过回顾患者诊疗过程以及对恶性肿瘤合并包虫感染之间的相互影响进行文献复习,期望为该类患者的治疗提供参考。Breast cancer ranks high in both incidence and mortality among female cancers,posing a significant threat to women's health and lives.Hepatic alveolar echinococcosis is a rare and severe zoonotic parasitic infection that exhibits infiltrative growth similar to that of malignant liver tumors and is thus referred to as"worm cancer".In endemic areas,there are cases of coexistence between malignant tumors and echinococcosis.However,the mutual influence between echinococcosis and tumors remains unclear and appears to be bidirectional at home and abroad.This article reports a case of a patient with advanced hormone receptor(HR)positive breast cancer co-infected with hepatic alveolar echinococcosis.Despite sharing pathological features such as mechanical space-occupying effects,tissue destruction,and distant metastasis,both the tumor and the echinococcosis achieved benign therapeutic outcomes during treatment without increasing or exacerbating treatment-related adverse reactions.By reviewing the patients'treatment process and conducting a literature review on the mutual influence between malignant tumors and echinococcosis,this article aims to provide references for the treatment of such patients.

关 键 词：乳腺癌 包虫 棘球蚴 多房棘球蚴病 肝泡型包虫病 

分 类 号：R737.9[医药卫生—肿瘤]