Povoski Stephen P, Jimenez Rafael E
Division of Surgical Oncology, Department of Surgery, The Arthur G. James Cancer Hospital and Richard J. Solove Research Institute and Comprehensive Cancer Center, The Ohio State University, Columbus, Ohio 43210, USA.
World J Surg Oncol. 2006 Aug 22;4:57. doi: 10.1186/1477-7819-4-57.
Fibromatosis or desmoid tumor of the breast is an extremely rare entity. While it lacks a metastatic potential, it can grow aggressively in a locally infiltrating pattern. The failure to recognize this as a finite entity within the breast can lead to local recurrence after incomplete excision.
We report a case of a 70 year old patient with a remote history of invasive breast cancer (treated twelve years earlier by lumpectomy, axillary lymph node dissection, postoperative radiation therapy, and five years of tamoxifen) who developed fibromatosis within another quadrant of the same breast that clinically, mammographically, and sonographically mimicked that of the development of an ipsilateral metachronous breast cancer. After the initial diagnosis of fibromatosis was made on a minimally invasive ultrasound guided biopsy, it was successfully treated by wide local excision.
After appropriate recognition, wide local excision can be the appropriate surgical management strategy for fibromatosis of the breast.
乳腺纤维瘤病或韧带样瘤是一种极其罕见的疾病。虽然它没有转移潜能，但可以呈局部浸润性生长。如果未能将其识别为乳腺内的一种明确疾病，不完全切除后可能导致局部复发。
我们报告一例70岁患者，有远处浸润性乳腺癌病史（12年前接受保乳手术、腋窝淋巴结清扫、术后放疗及5年他莫昔芬治疗），在同一乳腺的另一象限发生了纤维瘤病，临床、乳腺X线摄影及超声检查均显示其表现与同侧异时性乳腺癌的发生相似。在微创超声引导下活检初步诊断为纤维瘤病后，通过广泛局部切除成功治愈。
经过恰当识别后，广泛局部切除可以作为乳腺纤维瘤病合适的手术治疗策略。
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