一个诊断难题——青春期前女孩罕见的青少年纤维腺瘤表现
A Diagnostic Enigma - A Rare Presentation Of Juvenile Fibroadenoma In A Premenarchal Girl.
作者信息
Kaur Navneet, Tanveer Nadeem, Naskar Sudipta
机构信息
Postgraduate Resident, Department of Surgery, University College of Medical Sciences and GTB Hospital, Delhi.
Director Professor, Department of Surgery, University College of Medical Sciences and GTB Hospital, Delhi.
出版信息
J Pediatr Adolesc Gynecol. 2021 Aug;34(4):558-560. doi: 10.1016/j.jpag.2021.01.015. Epub 2021 Jan 29.
BACKGROUND
We report a rare case of a teenage girl, with a bizarre clinical presentation of a benign breast condition that too is uncommon at her age.
CASE
A 14-year-old premenarchal girl presented with a rapidly progressing lump that involved the entire breast within 3 months. It was associated with ulceration of the overlying skin along with destruction of the nipple-areola complex. During the pre- operative workup, a neoplastic etiology was suspected, but post-operative histopathology revealed it to be giant juvenile fibroadenoma.
SUMMARY AND CONCLUSION
This case emphasizes the benign character of breast masses in the adolescent age group. Despite the massive volume and appearance, the opportunity for a conservative surgical approach should be sought.
背景
我们报告了一例罕见的青少年女性病例，其良性乳腺疾病的临床表现怪异，在她这个年龄也不常见。
病例
一名14岁的初潮前女孩出现一个迅速进展的肿块，在3个月内累及整个乳房。它伴有覆盖皮肤的溃疡以及乳头乳晕复合体的破坏。在术前检查中，怀疑有肿瘤性病因，但术后组织病理学显示为巨大型青少年纤维腺瘤。
总结与结论
该病例强调了青少年年龄组乳腺肿块的良性特征。尽管肿块体积巨大且外观异常，但仍应寻求保守手术治疗的机会。
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