患者,女性,19岁,主因右乳无痛性肿物、生长迅速3个月于2009年1月入住外院。查体:肿物位于外下象限,约6cm×5cm,表面皮肤呈紫红色,皮温略高,质硬,触痛明显,活动度差,同侧腋窝及锁骨上未触及肿大淋巴结。于全麻下行右乳肿物切除术,术中见肿瘤无完整包膜,分叶状,血管分支侵入胸肌,止血困难,术中出血1200ml。术后病理:乳腺 Patients, female, 19 years old, mainly due to painless right breast right tumor, rapid growth in 3 months in January 2009 admitted outside the hospital. Physical examination: the tumor located in the outer quadrant, about 6cm × 5cm, the surface of the skin was purple, skin temperature slightly higher, hard, obvious tenderness, poor mobility, ipsilateral axillary and supraclavicular untreated swollen lymph nodes. Right breast tumor resection under general anesthesia, surgery, see the tumor without complete capsule, lobulated, vascular invasion of the pectoralis major, bleeding difficulties, intraoperative bleeding 1200ml. Postoperative pathology: breast