Farcy David A, Rabinowitz David, Frank Marshall
Department of Emergency Medicine, Mount Sinai Medical Center, Miami Beach, Florida, USA.
J Emerg Med. 2011 Dec;41(6):627-9. doi: 10.1016/j.jemermed.2010.11.033. Epub 2011 Feb 5.
Ectopic breast tissue is a rare occurrence in pregnant women and should not be confused with abscess or other causes. Ectopic breast tissue is present at birth but often only diagnosed after puberty, pregnancy, or lactation.
Misdiagnosis is of concern due to the fact that ectopic breast tissue may undergo pathological changes with increased risk of malignancy. Therefore, it is vital for emergency physicians to be able to recognize this process and ensure proper follow-up care.
We present a case of ectopic breast tissue in a 19-year-old primigravida.
Surgical removal for the purpose of prophylaxis of malignant changes is not currently recommended. Definitive diagnosis is established by fine-needle aspiration and excisional biopsy.
异位乳腺组织在孕妇中较为罕见，不应与脓肿或其他病因相混淆。异位乳腺组织在出生时就已存在，但通常在青春期、怀孕或哺乳期后才被诊断出来。
由于异位乳腺组织可能会发生病理变化，增加恶性肿瘤的风险，因此误诊令人担忧。因此，急诊医生能够识别这一过程并确保适当的后续护理至关重要。
我们报告一例19岁初产妇的异位乳腺组织病例。
目前不建议为预防恶性变化而进行手术切除。通过细针穿刺和切除活检来明确诊断。
