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复发性乳腺肌样错构瘤,酷似恶性肿瘤。

Recurrent myoid hamartoma of the breast mimicking malignancy.

作者信息

Prabhu Juilee, Moyle Penelope

机构信息

Addenbrooke's Hospital, United Kingdom.

Cambridge University Hospitals NHS Foundation Trust, United Kingdom.

出版信息

Radiol Case Rep. 2020 Nov 30;16(2):295-299. doi: 10.1016/j.radcr.2020.11.007. eCollection 2021 Feb.

DOI:10.1016/j.radcr.2020.11.007
PMID:33304438
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7710508/
Abstract

Myoid (muscular) hamartoma is a rare form of benign breast hamartoma composed of differentiated mammary glandular and stromal structures, fatty tissue and areas of smooth muscle from which its name originates. It is considered to be a variant of a mammary hamartoma. We report the clinical presentation, imaging appearances and treatment of the initial and recurrent presentation of this rare tumour in a 61year old female, which mimicked malignancy.  Although rare, myoid hamartoma's can reoccur and when they do they imaging appearances of benign and malignant tumours can overlap tend to mimic malignancy and histological diagnosis is mandatory.

摘要

肌样(肌肉性)错构瘤是一种罕见的良性乳腺错构瘤,由分化的乳腺腺管和间质结构、脂肪组织和平滑肌区域组成,其名称即源于此。它被认为是乳腺错构瘤的一种变体。我们报告了一名61岁女性的这种罕见肿瘤首次及复发时的临床表现、影像学表现及治疗情况,其表现类似恶性肿瘤。尽管肌样错构瘤罕见,但可复发,复发时其影像学表现可与良性和恶性肿瘤重叠,易被误诊为恶性肿瘤,因此组织学诊断必不可少。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/effb/7710508/1110bfa4ec08/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/effb/7710508/38c9f6d32128/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/effb/7710508/9e8d1455c2aa/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/effb/7710508/bf257fe9b7b8/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/effb/7710508/86fd6287c6fc/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/effb/7710508/c194fedf6358/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/effb/7710508/1110bfa4ec08/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/effb/7710508/38c9f6d32128/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/effb/7710508/9e8d1455c2aa/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/effb/7710508/bf257fe9b7b8/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/effb/7710508/86fd6287c6fc/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/effb/7710508/c194fedf6358/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/effb/7710508/1110bfa4ec08/gr6.jpg

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本文引用的文献

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NHS Breast Screening multidisciplinary working group guidelines for the diagnosis and management of breast lesions of uncertain malignant potential on core biopsy (B3 lesions).NHS 乳房筛查多学科工作组关于在核心活检中诊断和管理具有不确定恶性潜能的乳房病变(B3 病变)的指南。
Clin Radiol. 2018 Aug;73(8):682-692. doi: 10.1016/j.crad.2018.04.004.
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Breast hamartoma: A report of 14 cases of an under-recognized and under-reported entity.乳腺错构瘤:14例未被充分认识和报道的病例报告
Int J Surg Case Rep. 2016;22:1-4. doi: 10.1016/j.ijscr.2016.03.007. Epub 2016 Mar 14.
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A rare case of recurrent myoid hamartoma mimicking malignancy: imaging appearances.
罕见病例:复发性肌样错构瘤酷似恶性肿瘤的影像学表现。
Korean J Radiol. 2010 Nov-Dec;11(6):683-6. doi: 10.3348/kjr.2010.11.6.683. Epub 2010 Oct 29.
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BI-RADS classification for management of abnormal mammograms.用于乳腺钼靶异常管理的BI-RADS分类
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Myoid hamartomas of the breast: report of 3 cases and review of the literature.乳腺肌瘤样错构瘤:3例报告并文献复习
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MRI of muscular hamartoma of the breast.乳腺肌肉错构瘤的磁共振成像
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Breast hamartomas: clinicopathological and immunohistochemical studies of 24 cases.乳腺错构瘤:24例临床病理及免疫组化研究
Histopathology. 2002 Jul;41(1):30-4. doi: 10.1046/j.1365-2559.2002.01429.x.
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A case of muscular hamartoma of the breast.一例乳腺肌肉错构瘤。
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