Schäfer F K, Biernath-Wuepping J, Eckmann-Scholz C, Order B M, Mathiak M, Hilpert F, Strauss A, Jonat W, Schäfer P J
UKSH Campus Kiel, Bereich Mammadiagnostik und Intervention, Kiel.
UKSH Campus Kiel, Klinik für Gynäkologie und Geburtshilfe, Kiel.
Geburtshilfe Frauenheilkd. 2012 May;72(5):412-418. doi: 10.1055/s-0031-1298571.
Hamartomas can occur in different areas of the breast, but they are rarely found in the breast. Myoid hamartomas with smooth muscle cells of the type described here are particularly unusual. The pathogenesis of this benign entity with its tendency to growth and recurrence is not clear. Excision is the therapy of choice. Capillary hemangiomas are rare vascular malformations of the breast which, in contrast to cavernous hemangiomas, usually remain clinically occult. It is important to differentiate these benign findings from malignant angiosarcoma. The possible heterogeneities between myoid hamartoma and capillary hemangioma using current breast imaging methods for the differential diagnosis (high-resolution ultrasound, duplex sonography, shear wave elastography, digital mammography, minimally invasive intervention) are discussed together with an overview of the literature.
错构瘤可发生于乳腺的不同部位，但在乳腺中很少见。具有此处所述平滑肌细胞的肌样错构瘤尤为罕见。这种具有生长和复发倾向的良性病变的发病机制尚不清楚。手术切除是首选治疗方法。毛细血管瘤是罕见的乳腺血管畸形，与海绵状血管瘤不同，通常在临床上不易被发现。将这些良性表现与恶性血管肉瘤区分开来很重要。本文结合文献综述，讨论了使用当前乳腺成像方法（高分辨率超声、双功超声、剪切波弹性成像、数字乳腺摄影、微创介入）对肌样错构瘤和毛细血管瘤进行鉴别诊断时可能存在的异质性。
