Intagliata Eva, Gangi Santi, Trovato Claudio, Vecchio Rosario, Strazzanti Angela
Department of General Surgery and Medical Surgical Specialties, University of Catania, Policlinico Vittorio Emanuele Hospital, Via S. Sofia 78, 95123 Catania, Italy.
Department of General Surgery and Medical Surgical Specialties, University of Catania, Policlinico Vittorio Emanuele Hospital, Via S. Sofia 78, 95123 Catania, Italy.
Int J Surg Case Rep. 2020;67:1-4. doi: 10.1016/j.ijscr.2020.01.010. Epub 2020 Jan 23.
Adenomyoepithelioma of the breast is a rare benign breast neoplasm with a particular behaviour.
We report two cases of adenomyoepithelioma of the breast in two old female patients, diagnosed over a period of 5 years. The clinical presentation, the radiological and the histopathologic findings are discussed.
Adenomyoepithelioma of the breast is characterized by the proliferation of both epithelial and myoepithelial cells belonging to the breast lobules and ducts. The imaging features are not pathognomonic and FNAB is usually not diagnostic. The morphologic appearance of this tumor varies, and it has to be considered in the differential diagnosis with other breast tumors. Although benign, adenomyoepithelioma has a potential for local recurrence, and malignant transformation is possible; therefore, wide excision is recommended to lower the recurrence rate.
The rarity of this histological type and the finding of two cases in a relatively short period makes this case report unique.
乳腺腺肌上皮瘤是一种具有特殊行为的罕见乳腺良性肿瘤。
我们报告了两名老年女性患者的乳腺腺肌上皮瘤病例，这两例病例是在5年期间诊断出来的。文中讨论了临床表现、放射学和组织病理学发现。
乳腺腺肌上皮瘤的特征是乳腺小叶和导管的上皮细胞和肌上皮细胞均增生。其影像学特征不具有特异性，细针穿刺抽吸活检（FNAB）通常无法确诊。该肿瘤的形态外观各异，在与其他乳腺肿瘤的鉴别诊断中必须予以考虑。尽管腺肌上皮瘤是良性的，但有局部复发的可能，也有可能发生恶性转化；因此，建议广泛切除以降低复发率。
这种组织学类型的罕见性以及在相对较短时间内发现两例病例使得本病例报告具有独特性。
