Roman Mirela, Westerby Therese, Karler Clarence
Chirurgia (Bucur). 2019 Sept-Oct;114(5):664-667. doi: 10.21614/chirurgia.114.5.664.
Fibromatosis is a benign lesion of the breast that can rarely occur in men, and requires good imaging and biopsy to make a differential diagnosis to breast carcinoma. Primary breast fibromatosis predominately affects females but can rarely affect the male breast (1,2). Due toits rarity, the condition has often been confused with breast carcinoma. Significant variability has been reported regarding imaging characteristics of fibromatosis using ultrasound and MRI. MRI is particularly useful in the evaluation of tumor extent and preoperative planning (3). We report the case of a 66-year old male who presented with a palpable mass within the external quadrant of his right breast. Ultrasound-guided core needle biopsy revealed diagnosis of fibromatosis. Follow-up performed 11 months after resection demonstrated no radiographic evidence of recurrence.
纤维瘤病是一种乳腺良性病变，男性极少发生，需要借助良好的影像学检查和活检来与乳腺癌进行鉴别诊断。原发性乳腺纤维瘤病主要影响女性，但男性乳腺也极少受累（1,2）。由于其罕见性，该病常被误诊为乳腺癌。关于纤维瘤病的超声和MRI影像学特征，已有显著差异的报道。MRI在评估肿瘤范围和术前规划方面特别有用（3）。我们报告一例66岁男性病例，其右乳外象限可触及肿块。超声引导下的粗针活检确诊为纤维瘤病。切除术后11个月的随访显示，影像学检查未发现复发迹象。
