Catena Fausto, Santini Donatella, Di Saverio Salomone, Ansaloni Luca, Taffurelli Mario
Anesthesiological and Surgical Sciences DPT, St Orsola-Malpighi University Hospital Bologna, Italy.
Breast Care (Basel). 2008;3(2):125-127. doi: 10.1159/000119727. Epub 2008 Apr 15.
Adenomyoepithelioma (AME) of the breast is a biphasic very uncommon tumour with epithelial/ my-oepithelial components. It can be easily recognised in an excised lesion, but it is more difficult to make a definitive diagnosis with needle biopsy. CASE REPORT: We report the case of a 42-year-old woman who presented with a mass in her right breast. The patient underwent a fine needle aspiration, and a diagnosis of C5 carcinoma was made. Neoadjuvant treatment was proposed to the patient but she refused and was referred to a third level centre where a needle core biopsy was performed and a diagnosis suggestive of AME was made. CONCLUSION: If there is cytological atypia, AME may be confused with infiltrating ductal carcinoma in needle biopsies because of limited tissue sampling.
乳腺腺肌上皮瘤（AME）是一种具有上皮/肌上皮成分的双相性非常罕见的肿瘤。在切除的病变中很容易识别，但通过针吸活检做出明确诊断则较为困难。病例报告：我们报告一例42岁女性，其右乳出现肿块。患者接受了细针穿刺抽吸，诊断为C5癌。向患者提出新辅助治疗，但她拒绝了，并被转诊至三级中心，在那里进行了粗针穿刺活检，诊断提示为AME。结论：如果存在细胞学异型性，由于组织取样有限，AME在针吸活检中可能会与浸润性导管癌混淆。
