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男童双侧乳房增大:不常见病因。

Bilateral breast enlargement in a male toddler: an unusual cause.

机构信息

Division of Pediatric Endocrinology and Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.

出版信息

Indian J Pediatr. 2009 Nov;76(11):1164-6. doi: 10.1007/s12098-009-0281-0. Epub 2010 Jan 14.

DOI:10.1007/s12098-009-0281-0
PMID:20072859
Abstract

We report a case of a two and a half yr old boy who presented with complaint of bilateral asymmetrical breast enlargement since infancy. On examination, he had features of neurofibromatosis type 1 (NF1). Complete endocrinological evaluation was normal. Trucut biopsy of the breast revealed overgrowth of fibrocollagenous and adipose tissue without hyperplasia of breast parenchyma. Thus a diagnosis of NF1 with pseudogynecomastia was made.

摘要

我们报告了一例两岁半的男孩,他自出生以来就有双侧不对称性乳房增大的主诉。检查时,他有 1 型神经纤维瘤病 (NF1) 的特征。完整的内分泌评估正常。乳房 Trucut 活检显示纤维胶原和脂肪组织过度生长,而乳腺实质无增生。因此,诊断为 NF1 伴假性男性乳房发育症。

相似文献

1
Bilateral breast enlargement in a male toddler: an unusual cause.男童双侧乳房增大:不常见病因。
Indian J Pediatr. 2009 Nov;76(11):1164-6. doi: 10.1007/s12098-009-0281-0. Epub 2010 Jan 14.
2
Pseudogynecomastia due to neurofibromatosis--a light microscopic and ultrastructural study.神经纤维瘤病所致假性男性乳房发育——光镜及超微结构研究
Hum Pathol. 1981 Aug;12(8):755-9. doi: 10.1016/s0046-8177(81)80180-3.
3
Neurofibroma of the breast in a boy with neurofibromatosis type 1.1型神经纤维瘤病男孩的乳腺神经纤维瘤
Clin Imaging. 2004 Nov-Dec;28(6):415-7. doi: 10.1016/S0899-7071(04)00004-X.
4
Gynecomastia in type-1 neurofibromatosis with features of pseudoangiomatous stromal hyperplasia with giant cells. Report of two cases.1型神经纤维瘤病伴假血管瘤样间质增生及巨细胞特征的男性乳房发育。两例报告。
Virchows Arch. 2001 May;438(5):513-6. doi: 10.1007/s004280100399.
5
Pseudoangiomatous stromal hyperplasia with multinucleated stromal giant cells is neither exceptional in gynecomastia nor characteristic of neurofibromatosis type 1.伴有多核间质巨细胞的假血管瘤样间质增生在男性乳腺增生中并不罕见,也不是1型神经纤维瘤病的特征性表现。
Virchows Arch. 2015 Apr;466(4):465-72. doi: 10.1007/s00428-014-1715-2. Epub 2015 Jan 14.
6
Neurofibromata of the chest wall simulating prepubertal gynecomastia.模拟青春期前男性乳房发育的胸壁神经纤维瘤
Clin Pediatr (Phila). 1977 Nov;16(11):1064-6. doi: 10.1177/000992287701601119.
7
Pseudoangiomatous stromal hyperplasia causing massive breast enlargement.假性血管瘤样间质增生导致乳房巨大增大。
BMJ Case Rep. 2015 Oct 16;2015:bcr2014204343. doi: 10.1136/bcr-2014-204343.
8
Gingival enlargement in neurofibromatosis type 1: a case report and literature review.1型神经纤维瘤病中的牙龈增生:一例报告及文献综述
J Contemp Dent Pract. 2010 Mar 1;11(2):057-63.
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Gynecomastia: pathomechanisms and treatment strategies.男性乳房肥大症:发病机制与治疗策略
Horm Res. 1997;48(3):95-102. doi: 10.1159/000185497.
10
Enlargement of the male breast: pseudogynecomastia, true gynecomastia or cancer?男性乳房增大:假性男性乳房发育、真性男性乳房发育还是癌症?
GP. 1967 Sep;36(3):114-7.

引用本文的文献

1
Unilateral gynaecomastia in a 16-month-old boy with neurofibromatosis type 1 - case report and brief review of the literature.一名患有1型神经纤维瘤病的16个月大男孩的单侧男性乳房发育——病例报告及文献简要综述
GMS Interdiscip Plast Reconstr Surg DGPW. 2015 Dec 3;4:Doc11. doi: 10.3205/iprs000070. eCollection 2015.

本文引用的文献

1
Neurofibroma of the breast in a boy with neurofibromatosis type 1.1型神经纤维瘤病男孩的乳腺神经纤维瘤
Clin Imaging. 2004 Nov-Dec;28(6):415-7. doi: 10.1016/S0899-7071(04)00004-X.
2
Prepubertal gynaecomastia: aetiology, course and outcome.青春期前男性乳房发育症:病因、病程及转归
Clin Endocrinol (Oxf). 2004 Jul;61(1):55-60. doi: 10.1111/j.1365-2265.2004.02059.x.
3
Gynecomastia with pseudoangiomatous stromal hyperplasia and multinucleated giant cells. Association with neurofibromatosis type 1.伴有假性血管瘤样间质增生和多核巨细胞的男性乳腺增生。与1型神经纤维瘤病相关。
Virchows Arch. 2002 Jul;441(1):85-7. doi: 10.1007/s00428-002-0656-3. Epub 2002 Apr 30.
4
Gynecomastia in type-1 neurofibromatosis with features of pseudoangiomatous stromal hyperplasia with giant cells. Report of two cases.1型神经纤维瘤病伴假血管瘤样间质增生及巨细胞特征的男性乳房发育。两例报告。
Virchows Arch. 2001 May;438(5):513-6. doi: 10.1007/s004280100399.
5
Pediatric neurofibromatosis: review.小儿神经纤维瘤病:综述
Compr Ther. 1981 Nov;7(11):66-72.
6
Pseudogynecomastia due to neurofibromatosis--a light microscopic and ultrastructural study.神经纤维瘤病所致假性男性乳房发育——光镜及超微结构研究
Hum Pathol. 1981 Aug;12(8):755-9. doi: 10.1016/s0046-8177(81)80180-3.
7
Neurofibromatosis in childhood.儿童神经纤维瘤病
J Pediatr. 1970 Mar;76(3):339-46. doi: 10.1016/s0022-3476(70)80472-3.
8
Neurofibromatosis: past, present, and future.神经纤维瘤病:过去、现在与未来。
N Engl J Med. 1991 May 2;324(18):1283-5. doi: 10.1056/NEJM199105023241812.
9
Multinucleated stromal giant cells in adolescent gynaecomastia.青少年男性乳房发育症中的多核间质巨细胞。
J Clin Pathol. 1992 May;45(5):443-4. doi: 10.1136/jcp.45.5.443.
10
Neurofibromata of the chest wall simulating prepubertal gynecomastia.模拟青春期前男性乳房发育的胸壁神经纤维瘤
Clin Pediatr (Phila). 1977 Nov;16(11):1064-6. doi: 10.1177/000992287701601119.