Gogo-Abite M, Seleye-Fubara D, Jamabo R S
Department of Anatomical Pathology, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria.
Niger J Med. 2005 Apr-Jun;14(2):221-3. doi: 10.4314/njm.v14i2.37185.
Fibroadenomas are benign breast tumours that are commonly diagnosed in young women in their 20's and early 30's. Occurrence of malignancy in the breasts of these women is very rare.
We report a case of an infiltrating ductal carcinoma within an otherwise benign fibroadenoma in a 23-year-old woman. She presented with a lump, approximately 7cm in diameter, in her right breast. There were no palpable axillary and supra- clavicular lymph nodes. Excision biopsy was carried out and histopathological report showed it to be a fibroadenoma coexisting with infiltrating ductal carcinoma.
Fibroadenomas are commonly diagnosed in patients in their 20's when the risk of developing breast cancer is extremely rare. Despite this rarity all excised breast lumps should be subjected to histopathological evaluation in order to avoid a diagnostic pitfall.
纤维腺瘤是常见于20多岁和30岁出头年轻女性的良性乳腺肿瘤。这些女性乳房发生恶性肿瘤的情况非常罕见。
我们报告一例23岁女性，其原本良性的纤维腺瘤内发生了浸润性导管癌。她右乳出现一个直径约7厘米的肿块。腋窝和锁骨上未触及肿大淋巴结。进行了切除活检，组织病理学报告显示为纤维腺瘤合并浸润性导管癌。
纤维腺瘤常见于20多岁的患者，此时患乳腺癌的风险极低。尽管罕见，但所有切除的乳腺肿块都应进行组织病理学评估，以避免诊断失误。
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