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[巨大囊性淋巴管瘤累及乳腺。1例随访20年的病例报告并文献复习]

[Giant cystic lymphangioma breast. Report of a case with 20-year follow-up and review of the literature].

作者信息

Vargas-Hernández Víctor Manuel, Tovar-Rodríguez José María, Moreno-Eutimio Mario Adán, Acosta-Altamirano Gustavo

机构信息

Dirección de Investigación. Hospital Juárez de México, México DF, Mexico.

>Dirección de Investigación. Hospital Juárez de México, México DF, Mexico.

出版信息

Cir Cir. 2014 Jan-Feb;82(1):81-6.

Abstract

BACKGROUND

Lymphangiomas are congenital malformations or acquired (secondary to trauma, infection or neoplasia) in the mammary gland, are extremely rare. These lesions tend to infiltrate surrounding tissues and malignant degeneration is extremely rare. Clinically manifests as benign masses, slow growing; diagnosed clinically and by imaging studies. Suegery with removal of the mass is performed for aesthetic reasons and to make differential diagnosis with other common injuries.

CLINICAL CASE

Women 45 years of age with progressive increase in size of the left breast, breast trauma concerns and has no other symptoms.The histologic diagnosis was cystic lymphangioma giant left mammary gland.

DISCUSSION

Lymphangiomas are uncommon lesions and extremely rare in the mammary gland, locally aggresive behavior and are benign, where abnormal lymphatic tissue has some ability to proliferate and accumulate large amounts of liquid, representing cystic appearance, as presented in our case. Local surgical excision is the treatment.

CONCLUSION

In this first case of giant breast cystic lymphangioma reported in Mexico, which corroborates the benignity of the lesion.

摘要

背景

淋巴管瘤是乳腺的先天性畸形或后天性(继发于创伤、感染或肿瘤形成)病变,极为罕见。这些病变往往会浸润周围组织,恶性变极为罕见。临床上表现为良性肿块,生长缓慢;通过临床及影像学检查进行诊断。出于美观原因以及与其他常见损伤进行鉴别诊断的目的,会对肿块进行手术切除。

临床病例

一名45岁女性,左乳房体积逐渐增大,担心乳房受到创伤,无其他症状。组织学诊断为左乳腺巨大囊性淋巴管瘤。

讨论

淋巴管瘤是罕见病变,在乳腺中极为少见,具有局部侵袭性且为良性,异常淋巴组织具有一定增殖能力并能积聚大量液体,呈现出囊性外观,如我们病例所示。局部手术切除是治疗方法。

结论

在墨西哥报道的首例乳腺巨大囊性淋巴管瘤病例中,证实了该病变的良性性质。

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