Riveros M, Cubilla A, Perotta F, Solalinde V
Hospital del Cancer y del Quemado, Asuncion, Paraguay.
J Surg Oncol. 1989 Nov;42(3):197-200. doi: 10.1002/jso.2930420314.
Mammary hamartomas are unusual lesions with distinctive radiologic and pathologic features. They are well circumscribed, mobile tumors showing no adherence to skin or muscle. Mammographic studies show a peripheral, luscent halo, and the mass is radiographically similar in pattern to a normal breast ("breast within a breast"). Calcification is not present. Histologically, these encapsulated lesions are composed of various breast tissue components such as ducts, lobules, stroma prominently adipose, and smooth muscle, without any particular arrangement. Local surgical resection is the treatment of choice. Hamartomas of the breast are benign lesions that need to be distinguished from other breast neoplasms such as fibroadenomas, lipomas, and cystosarcoma phyllodes.
乳腺错构瘤是具有独特放射学和病理学特征的罕见病变。它们边界清晰,可活动,不与皮肤或肌肉粘连。乳腺钼靶检查显示周边有透亮晕,肿块在影像学上的表现与正常乳腺相似(“乳腺内的乳腺”),无钙化。组织学上,这些包膜完整的病变由各种乳腺组织成分组成,如导管、小叶、以脂肪为主的间质和平滑肌,无特殊排列方式。局部手术切除是首选治疗方法。乳腺错构瘤是良性病变,需要与其他乳腺肿瘤如纤维腺瘤、脂肪瘤和叶状囊肉瘤相鉴别。