[A difficult diagnosis of asynchronous both side XXXX ].

@entity1 @entity1782 @entity0 @entity5 @entity7273 @entity513 @entity1557 @entity1722
A 53-years-old @entity1 was diagnosed with left @entity0 (T2N0M0, Stage IIA)and underwent breast conserving surgeryand axillaryly mph nodes resection. She was administered 2 courses of chemotherapyconsisting of cyclophosphamide, methotrexate, and fluorouracil(CMF)and received a total of 50 Gyof radiation therapyas adjuvant therapy. Ultrasonographyof the right breast, performed 2 years after the first operation, detected a @entity5 7mm in diameter. A core needle biopsy of the @entity5 was performed. The pathological diagnosis was @entity1557 . The @entity1 's whole bodywas checked for metastatic legions, but none were found. Right axillary lymph node swelling was detected 9 years after her first operation, and a surgical biopsywas performed. Frozen section analysis indicated that it was metastasis from the @entity0 . A further surgical biopsywas performed on the right breast mass. Frozen section analysis indicated the @entity5 was @entity513 within a @entity1557 . Breast conserving surgeryand axillaryly mph node dissection were performed for the right @entity0 . The final permanent pathological diagnosis of the right breast was @entity513 within @entity1557 ( T2N1M0, Stage IIB), negative for @entity1782 , negative for @entity7273 , and negative for @entity1722 ( @entity1722 ). The @entity1 was administered 3 courses of chemotherapyconsisting of taxotere and cyclophosphamide(TC)and received a total of 50 Gy of radiation therapy. The @entity1 is alive without metastases 3 years after the second surgery.
