Khatib Yasmeen, Pandey Vinita, Khade Archana L, Pandey Rahul
Department of Pathology, HBT Medical College and Dr. RN Cooper Municipal General Hospital, Mumbai, Maharashtra, India.
Department of Pathology, Tata Memorial Hospital, Mumbai, Maharashtra, India.
J Midlife Health. 2018 Jan-Mar;9(1):47-49. doi: 10.4103/jmh.JMH_59_17.
A breast mass in a postmenopausal age woman is treated with a high index of clinical suspicion for malignancy. Myofibroblastoma (MFB) of the breast is a very rare benign stromal tumor, predominantly occurring in menopausal women and older men. Owing to its rarity, nonspecific radiology, cytomorphology, and many variants, it can be confused with other malignant and benign breast lesions and hence can be a source of diagnostic pitfall. We present a case of an MFB of the breast in a 55-year-old female, which was detected on a routine screening mammography. Fine-needle aspiration cytology was inconclusive. Final diagnosis was made by histopathology and immunohistochemistry examination. We report this case as the likelihood of encountering MFB has increased in recent years due to routine mammographic screening, and this lesion should be kept in the differential diagnosis of spindle-cell lesions of the breast.
绝经后女性的乳腺肿块需高度怀疑为恶性肿瘤进行治疗。乳腺肌成纤维细胞瘤(MFB)是一种非常罕见的良性间质肿瘤,主要发生于绝经后女性和老年男性。由于其罕见性、非特异性放射学表现、细胞形态学特征以及多种变异型,它可能与其他良恶性乳腺病变相混淆,因此可能成为诊断陷阱的来源。我们报告一例55岁女性乳腺MFB病例,该病例在常规乳腺钼靶筛查中被发现。细针穿刺细胞学检查结果不明确。最终通过组织病理学和免疫组织化学检查做出诊断。我们报告此病例是因为近年来由于常规乳腺钼靶筛查,遇到MFB的可能性增加了,并且该病变应列入乳腺梭形细胞病变的鉴别诊断中。