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乳腺腺肌上皮腺病:用于鉴别诊断的临床、影像学及病理表现

Adenomyoepithelial Adenosis of the Breast: Clinical, Radiological, and Pathological Findings for Differential Diagnosis.

作者信息

Erel Serap, Tuncbilek Isil, Kismet Kemal, Kilicoglu Bulent, Ozer Elif, Akkus Mehmet Ali

机构信息

4th General Surgery Department, Ankara Training and Research Hospital, Turkey.

出版信息

Breast Care (Basel). 2008;3(6):427-430. doi: 10.1159/000170277. Epub 2008 Nov 25.

DOI:10.1159/000170277
PMID:21048915
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2931032/
Abstract

BACKGROUND

Myoepithelial cells are widely present in the breast, and their hyperplasia may result in a spectrum of disease ranging from myoepitheliosis to myoepithelial carcinoma. CASE REPORT: A 46-year-old woman presented with a palpable mass in her right breast. Mammography and ultrasonography showed a lesion in the upper quadrant of the right breast with spiculated borders and shape. Excisional biopsy showed adenomyoepithelial adenosis. CONCLUSIONS: Although considered benign, adenomyoepithelial lesions tend to recur due to inadequate excision. Therefore, possibility of recurrence and even metastasis should be considered during follow-up of patients with a diagnosis of adenomyoepithelial lesions.

摘要

背景

肌上皮细胞广泛存在于乳腺中,其增生可能导致一系列疾病,从肌上皮增生症到肌上皮癌。病例报告:一名46岁女性,右侧乳房可触及肿块。乳腺X线摄影和超声检查显示右乳上象限有一个边界呈毛刺状且形状不规则的病变。切除活检显示腺肌上皮腺病。结论:尽管腺肌上皮病变被认为是良性的,但由于切除不彻底往往会复发。因此,对于诊断为腺肌上皮病变的患者进行随访时,应考虑复发甚至转移的可能性。

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本文引用的文献

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Adenomyoepithelioma of the Breast: An Intricate Diagnostic Problem.乳腺腺肌上皮瘤:一个复杂的诊断难题。
Breast Care (Basel). 2008;3(2):125-127. doi: 10.1159/000119727. Epub 2008 Apr 15.
2
Adenomyoepithelioma of the breast diagnosed by a mammotome biopsy: report of a case.经麦默通活检诊断的乳腺腺肌上皮瘤:病例报告
Surg Today. 2008;38(2):144-6. doi: 10.1007/s00595-007-3591-8. Epub 2008 Feb 1.
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"Benign," metastasizing adenomyoepithelioma of the breast: a report of 2 cases.乳腺“良性”转移性腺肌上皮瘤:2例报告
Arch Pathol Lab Med. 2006 Sep;130(9):1349-53. doi: 10.5858/2006-130-1349-BMAOTB.
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Fine-needle aspiration cytology of mammary adenomyoepithelioma: a study of 12 patients.乳腺腺肌上皮瘤的细针穿刺细胞学检查:12例患者的研究
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Salivary gland-like tumours of the breast: surgical and molecular pathology.乳腺涎腺样肿瘤:外科手术与分子病理学
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Adenomyoepithelioma of the breast: spectrum of disease with associated imaging and pathology.乳腺腺肌上皮瘤:疾病谱及相关影像学与病理学表现
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Pathol Int. 1994 Jun;44(6):475-9. doi: 10.1111/j.1440-1827.1994.tb01713.x.
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Adenomyoepithelioma of the lung.
Am J Surg Pathol. 1995 Aug;19(8):956-62. doi: 10.1097/00000478-199508000-00012.