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乳腺巨大表皮样囊肿:罕见部位的常见良性病变——病例报告

Giant epidermoid cyst in the breast: A common benign lesion at a rare site-A case report.

作者信息

Mahmud Mayin Uddin, Sheuly Sayera Banu, Bhuiyan Nur Hossain, Chowdhury Rana, Ali Ramjan

机构信息

Chittagong Medical College Hospital, Bangladesh.

Chittagong Medical College Hospital, Bangladesh.

出版信息

Int J Surg Case Rep. 2017;36:130-132. doi: 10.1016/j.ijscr.2017.05.014. Epub 2017 May 22.

Abstract

INTRODUCTION

Epidermoid cyst is a common clinical entity and it can occur anywhere in the body. But its occurrence and huge size in the breast is very rare and more liable to develop complications, including malignant transformation.

PRESENTATION OF CASE

We present here an unusual case of a giant epidermoid cyst in the breast, which is about 7cm in greatest dimension. After proper preoperative diagnosis by clinical, imaging and histopathological findings, it was managed by total excision.

DISCUSSION

Imaging and fine needle aspiration cytology is essential for accurate preoperative diagnosis. However, it is often very difficult to differentiate it from other benign and malignant conditions of breast. Infection and malignant transformation are its potential complications. Total excision along with its capsule is the treatment of an epidermoid cyst.

CONCLUSION

Epidermoid cyst is an important differential diagnosis while managing benign breast disease.

摘要

引言

表皮样囊肿是一种常见的临床病症,可发生于身体的任何部位。但其在乳腺中的发生及巨大尺寸非常罕见,且更易引发并发症,包括恶变。

病例介绍

我们在此呈现一例不寻常的乳腺巨大表皮样囊肿病例,最大直径约7厘米。经临床、影像学及组织病理学检查结果进行恰当的术前诊断后,通过完整切除进行治疗。

讨论

影像学检查及细针穿刺抽吸细胞学检查对于准确的术前诊断至关重要。然而,将其与乳腺的其他良恶性疾病进行鉴别往往非常困难。感染和恶变是其潜在并发症。完整切除囊肿及其包膜是表皮样囊肿的治疗方法。

结论

在处理乳腺良性疾病时,表皮样囊肿是一个重要的鉴别诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/39ce/5453857/b5edfaf0f430/gr1.jpg

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