Mannu Gurdeep Singh, Ahmed Farid, Cunnick Giles, Mungalsingh Naren
Department of Breast Surgery, Buckinghamshire NHS Trust, UK.
Department of Pathology, Buckingamshire NHS Trust, UK.
BMJ Case Rep. 2014 Sep 22;2014:bcr2013202384. doi: 10.1136/bcr-2013-202384.
We present a rare case of osseous metaplasia in a poorly healing breast abscess. An 87-year-old woman was referred to the breast surgery clinic with a painful lump in her right breast. Initial imaging and core biopsy suggested a breast abscess. Despite several courses of antibiotics and repeated attempts at aspiration the painful lesion persisted. It was eventually surgically excised in its entirety and final histopathology showed the presence of bone formation within the abscess. The patient's symptoms subsequently resolved. To the best of our knowledge, this is the first case in the literature, of osseous metaplasia within a breast abscess in the absence of malignancy.
我们报告了一例愈合不良的乳腺脓肿中发生骨化生的罕见病例。一名87岁女性因右乳出现疼痛性肿块被转诊至乳腺外科门诊。初步影像学检查和粗针活检提示为乳腺脓肿。尽管接受了几个疗程的抗生素治疗并多次尝试穿刺抽吸，但疼痛性病变仍持续存在。最终将其完整手术切除，最终组织病理学检查显示脓肿内有骨形成。患者的症状随后得到缓解。据我们所知，这是文献中首例在无恶性肿瘤情况下乳腺脓肿内发生骨化生的病例。
