Li Pei-Feng, Xu Jia-Gang, Yu Fang, Dong Lei, Geng Ming, Zhang Yan
Department of Pathology, General Hospital of Jinan Military Command Jinan, China.
Department of Medical Supply, The 89th Hospital of PLA Weifang, China.
Int J Clin Exp Med. 2014 Apr 15;7(4):1166-8. eCollection 2014.
Adenomyoepithelial adenosis of the breast is extremely rare. We treated a 35-year-old woman with two small painless hard lumps in her breasts. On ultrasonography, the lesion in the right breast (upper inner quadrant) showed heterogeneous echogenicity and irregular, well-defined, uniformly hypoechoic nodules separated by funiform hyperechoic areas. The entire lesion had unclear boundaries. Excisional biopsy showed adenomyoepithelial adenosis. The mass in the left breast was a fibroadenoma. Adenomyoepithelial adenosis can show local recurrence and malignant degeneration, therefore, preoperative ultrasonographic diagnosis is important for surgical planning. The differential diagnosis includes common adenosis, fibroadenoma, adenomyoepithelioma and adenomyoepithelial carcinoma.
乳腺腺肌上皮腺病极为罕见。我们治疗了一名35岁女性，她的双侧乳房有两个无痛性小硬块。超声检查显示，右侧乳房（内上象限）的病变呈现不均匀回声，有不规则、边界清晰、均匀低回声结节，被条索状高回声区分隔。整个病变边界不清。切除活检显示为腺肌上皮腺病。左侧乳房的肿块为纤维腺瘤。腺肌上皮腺病可出现局部复发和恶变，因此，术前超声诊断对手术规划很重要。鉴别诊断包括普通腺病、纤维腺瘤、腺肌上皮瘤和腺肌上皮癌。
