Yang Mei, Xu Zhe, Liao Qiulin, Wang Hong
Breast Disease Center, Guangdong Women and Children Hospital of Guangzhou Medical University, Guangzhou, Guangdong 510010, P.R. China ; Breast Center, General Hospital of Guangzhou Military Command of the People's Liberation Army, Guangzhou, Guangdong 510010, P.R. China.
Department of Ophthalmology, General Hospital of Guangzhou Military Command of the People's Liberation Army, Guangzhou, Guangdong 510010, P.R. China.
Oncol Lett. 2014 Sep;8(3):1243-1245. doi: 10.3892/ol.2014.2303. Epub 2014 Jul 1.
Although abdominal wall masses are commonly observed in clinical practice, traumatic breast transposal appearing as an abdominal wall mass is a rare event. The unique phenomenon of a post-traumatic breast growing healthily in the abdominal wall has never previously been reported. The current study presents the case of a 40-year-old female who developed an unusually transposed, but healthy mammary gland in the right upper abdominal wall following a severe pedestrian traffic accident. In that accident, the powerful impact of the car caused multiple right-sided rib fractures, lung injuries and a protruding mass on the right abdominal wall. This sudden onset protruding mass was indicated to be breast tissue by computed tomography imaging and ultrasound scanning. The transposed mammary gland was resected and a pathological examination confirmed that it consisted of normal breast tissue. In this case, the force of the car caused no significant damage or necrosis to the right breast, but instead was sufficient to shift the mammary gland to the abdomen, where it grew healthily 6 months in its new location. This case highlights the capability of the mammary gland to withstand a powerful impact and survive. Moreover, it advances our knowledge of how mammary tissues respond to severe blunt-force impacts.
尽管腹壁肿块在临床实践中较为常见,但创伤性乳房移位并表现为腹壁肿块却是罕见事件。此前从未有过创伤后乳房在腹壁健康生长的独特现象的报道。本研究报告了一例40岁女性的病例,该女性在一次严重的行人交通事故后,右上腹壁出现了异常移位但健康的乳腺。在那次事故中,汽车的强大冲击力导致右侧多发肋骨骨折、肺部损伤以及右腹壁出现一个突出肿块。计算机断层扫描成像和超声扫描显示,这个突然出现的突出肿块为乳腺组织。移位的乳腺被切除,病理检查证实其由正常乳腺组织构成。在该病例中,汽车的冲击力未对右侧乳房造成明显损伤或坏死,反而足以将乳腺移位至腹部,在新位置健康生长了6个月。该病例凸显了乳腺承受强大冲击力并存活的能力。此外,它增进了我们对乳腺组织如何应对严重钝性外力冲击的认识。