乳头腺瘤自乳头突出：行根治性切除，不切除乳头。
Adenoma of the nipple projecting out of the nipple: curative resection without excision of the nipple.
作者信息
Fujii Takaaki, Yajima Reina, Morita Hiroki, Yamaguchi Satoru, Tsutsumi Soichi, Asao Takayuki, Kuwano Hiroyuki
机构信息
Department of General Surgical Science, Graduate School of Medicine, Gunma University, 3-39-22 Showa-machi, Maebashi, Gunma 371-8511, Japan.
出版信息
World J Surg Oncol. 2014 Apr 10;12:91. doi: 10.1186/1477-7819-12-91.
BACKGROUND
Adenoma of the nipple is a rare breast tumor that is often mistaken clinically for Paget's disease and misinterpreted pathologically as invasive ductal carcinoma.
CASE REPORT
We report herein a distinctive case of adenoma of the nipple projecting out of the nipple. In the current case, we were able to perform curative resection through a periareolar incision similar to a microdochectomy without excision of the nipple. The diagnosis of adenoma of the nipple was confirmed histopathologically.
CONCLUSION
Although the tumor was found on top of the nipple, curative tumor resection without excision of the nipple was possible and the nipple was completely preserved. Adenoma of the nipple is a benign tumor, and thus the diagnosis of adenoma of the nipple must be confirmed so that unnecessary surgery can be avoided.
背景
乳头腺瘤是一种罕见的乳腺肿瘤，临床上常被误诊为佩吉特病，病理上常被误判为浸润性导管癌。
病例报告
我们在此报告一例乳头腺瘤突出于乳头外的独特病例。在本例中，我们能够通过类似于微小乳管切除术的乳晕周围切口进行根治性切除，而无需切除乳头。乳头腺瘤的诊断经组织病理学证实。
结论
尽管肿瘤位于乳头顶部，但有可能在不切除乳头的情况下进行根治性肿瘤切除，乳头得以完全保留。乳头腺瘤是一种良性肿瘤，因此必须确诊乳头腺瘤，以避免不必要的手术。
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