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酷似复发性乳腺癌的胸壁硬纤维瘤:多模态影像学表现

Desmoid Tumor of the Chest Wall Mimicking Recurrent Breast Cancer: Multimodality Imaging Findings.

作者信息

Choi Kyeong A, An Yeong Yi

机构信息

Department of Radiology, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.

出版信息

Iran J Radiol. 2016 Jul 4;13(4):e31649. doi: 10.5812/iranjradiol.31649. eCollection 2016 Oct.

DOI:10.5812/iranjradiol.31649
PMID:27895871
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5116771/
Abstract

Desmoid tumor of breast is a rare benign, locally aggressive tumor with a high recurrence rate. It has been associated with scar from previous breast surgery or trauma. Especially in breast cancer patients with previous operation history, it may simulate recurrent breast cancer clinically and radiologically. We presented multimodality imaging findings (ultrasound, computed tomography, magnetic resonance imaging and positron emission tomography/computed tomography) of chest wall desmoid tumor mimicking recurrent breast cancer in a 38-year-old patient with a history of left modified mastectomy. The desmoid tumor is a rare benign tumor that should be considered in the differential diagnosis of malignant local tumor recurrence after breast cancer operation. Biopsy was required for accurate diagnosis and wide local excision was its appropriate surgical management.

摘要

乳腺韧带样瘤是一种罕见的良性、局部侵袭性肿瘤,复发率高。它与既往乳腺手术或创伤形成的瘢痕有关。特别是有手术史的乳腺癌患者,在临床和影像学上可能酷似复发性乳腺癌。我们展示了一名38岁有左侧改良乳房切除术病史的患者胸壁韧带样瘤酷似复发性乳腺癌的多模态影像学表现(超声、计算机断层扫描、磁共振成像和正电子发射断层扫描/计算机断层扫描)。韧带样瘤是一种罕见的良性肿瘤,在乳腺癌术后局部恶性肿瘤复发的鉴别诊断中应予以考虑。准确诊断需要活检,广泛局部切除是其合适的手术治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae9e/5116771/946cf95266fb/iranjradiol-13-04-31649-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae9e/5116771/f573ddabb7e1/iranjradiol-13-04-31649-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae9e/5116771/8058f9a4f9f9/iranjradiol-13-04-31649-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae9e/5116771/946cf95266fb/iranjradiol-13-04-31649-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae9e/5116771/f573ddabb7e1/iranjradiol-13-04-31649-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae9e/5116771/8058f9a4f9f9/iranjradiol-13-04-31649-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae9e/5116771/946cf95266fb/iranjradiol-13-04-31649-g003.jpg

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本文引用的文献

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Desmoid tumor following augmentation mammoplasty with silicone implants.硅胶假体隆乳术后的韧带样瘤
Arch Plast Surg. 2013 Jul;40(4):470-2. doi: 10.5999/aps.2013.40.4.470. Epub 2013 Jul 17.
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Breast fibromatosis mimicking breast carcinoma.酷似乳腺癌的乳腺纤维瘤病
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Desmoid tumor (fibromatosis) of the breast after augmentation with saline implants.盐水植入隆乳术后乳腺韧带样瘤(纤维瘤病)
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Case report. PET/CT appearance of desmoid tumour of the chest wall.病例报告。胸壁硬纤维瘤的 PET/CT 表现。
Br J Radiol. 2010 Feb;83(986):e39-42. doi: 10.1259/bjr/18648939.
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Mammary fibromatosis.乳腺纤维瘤病
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