Miller Mia Colette, Johnson Pamela, Kim Steve, Choi Lydia
Department of Surgery, Wayne State University School of Medicine, Detroit, Michigan, USA.
Barbara Ann Karmanos Cancer Institute, Detroit, Michigan, USA.
BMJ Case Rep. 2018 Aug 27;2018:bcr-2018-224631. doi: 10.1136/bcr-2018-224631.
Tubular adenomas of the breast are rare benign tumours and few cases have been reported. Most often, the tumours are described as palpable, well-circumscribed masses in women of childbearing age and are commonly diagnosed as fibroadenomas both clinically and radiographically. Surgical excision is required for diagnosis and to prevent continuing growth. Here, we present two cases of these rare tumours, both with unusual presentations. The first case describes a very large specimen (10 cm × 9.5 cm × 4 cm mass) with tubular adenoma pathology, which is one of the largest reported in medical literature. The second case illustrates another rare specimen, a mixture of both tubular adenoma and fibroadenoma pathology. We elected to document these cases to assist in the management of these rare lesions. Our hope is that this will allow future physicians to better identify and treat the pathology with improved outcomes for these patients.
乳腺管状腺瘤是罕见的良性肿瘤，仅有少数病例报道。大多数情况下，这些肿瘤在育龄女性中表现为可触及的、边界清晰的肿块，临床和影像学上通常被诊断为纤维腺瘤。诊断及防止肿瘤持续生长均需手术切除。在此，我们报告两例这种罕见肿瘤的病例，两例均有不寻常的表现。第一例描述的是一个非常大的标本（10厘米×9.5厘米×4厘米肿块），病理检查为管状腺瘤，这是医学文献中报道的最大病例之一。第二例展示的是另一个罕见标本，同时具有管状腺瘤和纤维腺瘤的病理特征。我们选择记录这些病例，以协助对这些罕见病变进行管理。我们希望这将使未来的医生能够更好地识别和治疗这种病理情况，从而为这些患者带来更好的治疗效果。
