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乳腺癌根治术后患者创伤性神经瘤 1 例报告并文献复习

Traumatic neuroma in a patient with breast cancer after mastectomy: a case report and review of the literature.

机构信息

Department of Surgical Oncology, The First Affiliated Hospital of Wenzhou Medical College, Wenzhou, Zhejiang, People's Republic of China.

出版信息

World J Surg Oncol. 2012 Feb 13;10:35. doi: 10.1186/1477-7819-10-35.

DOI:10.1186/1477-7819-10-35
PMID:22330690
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3296625/
Abstract

The incidence of traumatic neuroma is extremely low, especially in those patients with breast cancer after mastectomy. There are only 10 cases reported in the literature. We report a patient who developed a palpable nodular mass near the mastectomy scar. The result of excisional biopsy was traumatic neuroma. Review of the literature reveal 10 cases with breast cancer of traumatic neuromas after mastectomy. Traumatic neuroma is a benign lesion and a reparative response of the nerve to injury, either direct/indirect trauma or chronic inflammation. Benign lesions as traumatic neuromas are more rarely seen after mastectomy. However, in order to manage patients' treatment, the most critical problem is to distinguish it from recurrent breast carcinoma. Although assistant examination methods such as ultrasound and computed tomography are valuable to a certain extent, the final diagnosis can only be confirmed on pathologic examination.

摘要

创伤性神经瘤的发病率极低,尤其是在乳腺癌根治术后的患者中。文献中仅报告了 10 例。我们报告了 1 例在乳腺癌根治术后的乳房切除瘢痕附近出现可触及结节状肿块的患者。切除活检的结果为创伤性神经瘤。文献复习发现 10 例乳腺癌根治术后发生创伤性神经瘤。创伤性神经瘤是一种良性病变,是神经对损伤的修复反应,无论是直接/间接创伤还是慢性炎症。良性病变如创伤性神经瘤在乳腺癌根治术后更为少见。然而,为了管理患者的治疗,最关键的问题是将其与复发性乳腺癌相鉴别。虽然超声和计算机断层扫描等辅助检查方法在一定程度上有价值,但最终诊断只能通过病理检查来确定。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97c3/3296625/a12e2a7d742e/1477-7819-10-35-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97c3/3296625/43df4734b83f/1477-7819-10-35-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97c3/3296625/a12e2a7d742e/1477-7819-10-35-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97c3/3296625/43df4734b83f/1477-7819-10-35-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/97c3/3296625/a12e2a7d742e/1477-7819-10-35-2.jpg

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三叉神经创伤性神经瘤:基于罕见病例的文献综合回顾。
Curr Pain Headache Rep. 2022 Mar;26(3):219-233. doi: 10.1007/s11916-022-01018-w. Epub 2022 Feb 4.
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Palpable Lumps after Mastectomy: Radiologic-Pathologic Review of Benign and Malignant Masses.乳房切除术后可触及的肿块:良性和恶性肿块的放射病理回顾。
Radiographics. 2021 Jul-Aug;41(4):967-989. doi: 10.1148/rg.2021200161. Epub 2021 May 14.
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