Miyoshi Kazuya, Takahashi Hirotoshi, Inagaki Masaru, Watanabe Jiro, Yamada Sohsuke, Mizutani Kenichi
Department of Breast Surgery, National Hospital Organization, Fukuyama Medical Center, Hiroshima, Japan.
Department of Surgery, National Hospital Organization, Fukuyama Medical Center, Hiroshima, Japan.
SAGE Open Med Case Rep. 2020 Jun 24;8:2050313X20927612. doi: 10.1177/2050313X20927612. eCollection 2020.
Fibroadenoma with remarkable cystic change is very unusual. Opinions differ as to the interpretation of this lesion. Furthermore, there have been few reports focusing on its macroscopic view. We herein report a case of fibroadenoma in a 43-year-old woman. The patient presented herself to a medical doctor's office due to a rapidly growing breast tumor. Based on a core needle biopsy, a benign lesion was suspected, and the tumor was surgically resected. On a macroscopic study, the cut surface of the tumor revealed a remarkably cystic and well-circumscribed lesion with an intracystic polypoid component. Microscopically, a variety of findings of epithelial and stromal proliferation were observed. This is an interesting case not only because a fibroadenoma with prominent cystic change is unusual but also because the breast tumor showed a characteristically cystic appearance on its macroscopic view.
伴有显著囊性变的纤维腺瘤非常罕见。对于该病变的解释存在不同观点。此外,很少有报告关注其大体表现。我们在此报告一例43岁女性的纤维腺瘤病例。患者因乳腺肿瘤迅速增大而前往医生办公室就诊。基于粗针活检,怀疑为良性病变,遂对肿瘤进行手术切除。在大体检查中,肿瘤切面显示为一个显著囊性且边界清晰的病变,伴有囊内息肉样成分。显微镜下,观察到上皮和间质增生的多种表现。这是一个有趣的病例,不仅因为伴有明显囊性变的纤维腺瘤不常见,还因为该乳腺肿瘤在大体观上呈现出典型的囊性外观。