Marumoto Ashley, Steinemann Susan, Furumoto Nancy, Woodruff Stacey
Department of Surgery, John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI (AM, SS, NF, SW).
Department of Surgery, Pali Momi Medical Center, Aiea, HI (SW).
Hawaii J Med Public Health. 2019 Feb;78(2):39-43.
Fibroadenomas are common benign tumors of the female breast. In the appropriate clinical setting, they are often managed expectantly without excision. Rarely, cancer may arise within a fibroadenoma, and this diagnosis mandates prompt treatment for malignancy. We present the case of a 70-year-old Samoan woman with ductal carcinoma in situ (DCIS) arising within a fibroadenoma. Health care practitioners should be aware of the possibility, particularly in older women, of finding carcinoma within a fibroadenoma, which informs the rationale for prompt surgical evaluation and follow up of all breast masses.
纤维腺瘤是女性乳房常见的良性肿瘤。在适当的临床情况下，通常对其采取观察等待而不进行切除的处理方式。极少数情况下，纤维腺瘤内可能发生癌变，这种诊断需要对恶性肿瘤进行及时治疗。我们报告一例70岁的萨摩亚女性病例，其纤维腺瘤内发生了导管原位癌（DCIS）。医疗从业者应意识到在纤维腺瘤内发现癌变的可能性，尤其是在老年女性中，这为对所有乳腺肿块进行及时手术评估和随访提供了依据。
