Tang Qingchao, Wang Zhenning, Xu Huimian
Department of Surgical Oncology and General Surgery The First Hospital of China Medical University, Shenyang, China.
Breast Care (Basel). 2008;3(6):431-433. doi: 10.1159/000180013. Epub 2008 Dec 17.
Hemangiopericytoma (HPC) is a rare vascular tumor originating from the capillary pericytes, and HPC of the breast is extremely rare. CASE REPORT: We describe a 50-year-old woman with HPC of the breast and focus on the diagnosis before operation and the extent of the operation. Under local anesthesia, a complete tumor excision was performed. Then, the fast-frozen material was pathologically examined and the diagnostic conclusion was 'malignant tumor of the breast, perhaps original from lobus intermedius tissue'. Finally, a modified radical mastectomy was performed, after which all 7 lymph nodes from the axillary fossa position of the excision showed symptoms of reactive hyperplasia. CONCLUSION: ON THE BASIS OF REVIEWING THE LITERATURE ABOUT THE DISEASE, WE PROPOSE SEVERAL BASIC IDEAS: an accurate biopsy together with an appropriate histological and im-munohistochemical examination is promising, and since lymph node metastasis is extremely rare, a simple mastectomy may be considered.
血管外皮细胞瘤(HPC)是一种起源于毛细血管周细胞的罕见血管肿瘤,乳腺血管外皮细胞瘤极为罕见。病例报告:我们描述了一名患有乳腺血管外皮细胞瘤的50岁女性,并重点关注术前诊断和手术范围。在局部麻醉下进行了肿瘤完整切除。然后,对快速冷冻材料进行病理检查,诊断结论为“乳腺恶性肿瘤,可能起源于中叶组织”。最后,进行了改良根治性乳房切除术,切除的腋窝部位的所有7个淋巴结均显示反应性增生症状。结论:在回顾有关该疾病的文献的基础上,我们提出几个基本观点:准确的活检以及适当的组织学和免疫组织化学检查很有前景,并且由于淋巴结转移极为罕见,可以考虑单纯乳房切除术。