Wadie George M, Banever Gregory T, Moriarty Kevin P, Courtney Richard A, Boyd Theonia
Division of Pediatric Surgery, Baystate Medical Center Children's Hospital, Tufts University School of Medicine, Springfield, MA 01199, USA.
J Pediatr Surg. 2005 Aug;40(8):1349-53. doi: 10.1016/j.jpedsurg.2005.05.026.
Ductal carcinoma in situ (DCIS) of the male breast is rare. Even more rare is the finding of DCIS in association with gynecomastia. After an extensive literature search, only two cases have been reported in the literature, both in adults. Here we present the case of a 16-year-old adolescent boy who presented with pubertal gynecomastia that was treated with bilateral subcutaneous mastectomies. A DCIS focus was found in the right breast specimen, and the patient underwent bilateral completion total mastectomies uneventfully. Despite its rarity, surgeons should be aware of the possibility of the breast of adolescents with gynecomastia harboring a neoplastic focus.
男性乳腺导管原位癌（DCIS）较为罕见。更罕见的是在男性乳腺增生症中发现DCIS。在广泛检索文献后，文献中仅报道过两例，均为成人病例。在此，我们报告一例16岁青少年男性病例，该患者因青春期男性乳腺增生症接受了双侧皮下乳房切除术。在右侧乳房标本中发现了DCIS病灶，随后患者顺利接受了双侧乳房全切术。尽管该病罕见，但外科医生应意识到患有男性乳腺增生症的青少年乳腺存在肿瘤病灶的可能性。
