Smarrito S, Salmon R
Département de chirurgie, institut Curie, 26, rue d'Ulm, 75005 Paris, France.
Ann Chir. 2005 Jan;130(1):40-3. doi: 10.1016/j.anchir.2004.10.011.
Fibromatosis (Desmoid tumor) of the male breast is an exceptional location. We present a case of such a tumor, in the context of Gardner's syndrome. A palpable mass was discovered in the right breast of a 52 years old man, with a history of rectocolic adenomatous polyposis. Mammography ant thoracic CT scan showed a stellar tumor, mimicking a breast cancer. Treatment consisted of wide excision and histology revealed a desmoid tumor. Desmoid tumors of the breast are benign lesions; they should be widely excised because of a high risk of recurrence. Coloscopy is indicated in the presence of mammary fibromatosis, to look for associated multiple polyps, confirming the diagnosis of Gardner's syndrome.
男性乳腺纤维瘤病（硬纤维瘤）是一种罕见的发病部位。我们报告一例发生于加德纳综合征背景下的此类肿瘤病例。一名52岁男性，有直肠结肠腺瘤性息肉病史，其右侧乳房发现一个可触及的肿块。乳房X线摄影和胸部CT扫描显示为星状肿瘤，类似乳腺癌。治疗方法为广泛切除，组织学检查显示为硬纤维瘤。乳腺硬纤维瘤是良性病变；由于复发风险高，应进行广泛切除。乳腺纤维瘤病患者需进行结肠镜检查，以寻找相关的多发息肉，从而确诊加德纳综合征。
