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一例乳腺软骨瘤样肿瘤。

A case of chondromatous tumor of the breast.

作者信息

Uchida Nobuyuki, Shiojima Masayuki, Sasamoto Hajime, Ieta Keisuke, Inose Takanori, Yokoo Hideaki, Kuwano Hiroyuki

机构信息

First Department of Surgery, Gunma University School of Medicine, 3-39-22 Showamachi, Maebashi, Gunma 371-8511, Japan.

出版信息

Breast Cancer. 2004;11(2):206-9. doi: 10.1007/BF02968303.

Abstract

This report describes an exceedingly rare case of a benign cartilage-containing breast tumor that developed in the right breast of a 52-year-old woman. She found the mass on self examination. Physical examination revealed a 1.5 x 1.4 cm, firm, smooth and mobile lump in the lower medial quadrant close to the nipple of the right breast. Mammography revealed a slightly indistinct margined, oval-shaped, and high density nodule without microcalcifications. On ultrasonography, the lesion was a hypoechoic, oval-shaped mass with an echogenic spot. The border was slightly rough. Fine needle aspiration cytology revealed some giant cells and necrotic tissue. Excisional biopsy was then performed. Histopathologically, the lesion consisted of islands of mature hyaline cartilage with intervening strands of fibrous stroma. Mammary lobules and ducts were lacking within the mass. Fat and muscular components were not present. Therefore chondromatous tumor of the breast was diagnosed.

摘要

本报告描述了一例极为罕见的病例,一名52岁女性的右侧乳房出现了一个含有良性软骨的肿瘤。她在自我检查时发现了肿块。体格检查发现右侧乳房靠近乳头的内下象限有一个1.5×1.4厘米、质地坚硬、表面光滑且可活动的肿块。乳房X线摄影显示一个边缘稍模糊、椭圆形、高密度的结节,无微钙化。超声检查显示,该病变为一个低回声、椭圆形肿块,伴有一个强回声点。边界稍粗糙。细针穿刺细胞学检查发现一些巨细胞和坏死组织。随后进行了切除活检。组织病理学检查显示,病变由成熟透明软骨岛和其间的纤维基质条索组成。肿块内未见乳腺小叶和导管。也不存在脂肪和肌肉成分。因此,诊断为乳房软骨瘤。

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