Dsouza Royson, Cherian Anish Jacob, Ananthakrishnan Radha, Menon Nandakumar
General Surgery, Gudalur Adivasi Hospital, Nilgiris, India.
Endocrine Surgery, Christian Medical College and Hospital Vellore, Vellore, Tamil Nadu, India
BMJ Case Rep. 2021 Mar 22;14(3):e240552. doi: 10.1136/bcr-2020-240552.
We describe a 68-year-old postmenopausal woman who presented with a history of rapidly enlarging lumps in both breasts. Though the breast lumps appeared suspicious on ultrasonography, the core biopsy was reported to be benign. In view of the clinical and radiological suspicion of malignancy, she underwent a diagnostic excision of both the lumps, the histopathology was consistent with mammary hibernoma. To the best of the authors' knowledge, this is the first report of a bilateral mammary hibernoma in an elderly postmenopausal woman. Given the clinical presentation, it is important to differentiate mammary hibernoma from carcinoma breast, which is a more common condition in this age group. However, preoperative diagnosis is challenging in view of the lack of definitive radiological and histological features. Although benign, hibernoma may have a propensity for local recurrence and, therefore, complete surgical excision remains the mainstay of treatment.
我们描述了一位68岁的绝经后女性，她有双侧乳房肿块迅速增大的病史。尽管乳房肿块在超声检查中看起来可疑，但核心活检报告为良性。鉴于临床和影像学上对恶性肿瘤的怀疑，她接受了双侧肿块的诊断性切除，组织病理学结果与乳腺冬眠瘤一致。据作者所知，这是老年绝经后女性双侧乳腺冬眠瘤的首例报告。鉴于临床表现，将乳腺冬眠瘤与乳腺癌区分开来很重要，乳腺癌在这个年龄组中更为常见。然而，由于缺乏明确的影像学和组织学特征，术前诊断具有挑战性。尽管冬眠瘤是良性的，但可能有局部复发的倾向，因此，完整的手术切除仍然是主要的治疗方法。
