Makiguchi Takaya, Horiguchi Jun, Nagaoka Rin, Yokoo Satoshi, Terashi Hiroto, Oyama Tetsunari, Takeyoshi Izumi
Departments of Stomatology and Maxillofacial Surgery, Gunma University Graduate School of Medicine, 3-39-22, Showa-machi, Maebashi, Gunma, 371-8511, Japan,
Surg Today. 2014 Dec;44(12):2369-73. doi: 10.1007/s00595-014-0833-4. Epub 2014 Jan 28.
Breast hamartoma is an uncommon benign tumor characterized by the variety of component tissues. Adipose tissue, mammary glands, and fibrous tissue in various proportions are the main components and form a well-circumscribed mass. Myoid (muscular) hamartoma is an extremely rare subtype of breast hamartoma, which contains an additional smooth muscle component. Inadequate breast contour and nipple-areola complex malposition and expansion can occur after resection of a large myoid hamartoma. Immediate mammaplasty for the affected breast, using the dermoglandular flap technique, is required to provide symmetry of the bilateral breasts. We report a case of myoid hamartoma that was larger than ever documented before. An acceptable aesthetic result was achieved by resection and application of reduction mammaplasty in a single-stage operation.
乳腺错构瘤是一种罕见的良性肿瘤,其特征为包含多种组成组织。脂肪组织、乳腺组织和不同比例的纤维组织是主要成分,并形成一个边界清晰的肿块。肌样(肌肉)错构瘤是乳腺错构瘤极为罕见的一种亚型,其中含有额外的平滑肌成分。切除较大的肌样错构瘤后,可能会出现乳房轮廓不完整以及乳头乳晕复合体位置异常和扩大的情况。需要采用真皮腺体瓣技术对患侧乳房立即进行乳房整形手术,以实现双侧乳房的对称。我们报告了一例肌样错构瘤病例,其大小超过以往所有记录。通过在一期手术中切除并应用缩乳整形术,获得了可接受的美学效果。