乳腺神经鞘瘤表现为疼痛性肿块：病例报告。
Schwannoma of the breast presenting as a painful lump: A case report.
机构信息
Department of Surgery, Gyeongsang National University College of Medicine and Gyeongsang National University Changwon Hospital, Changwon, Korea.
Department of Surgery, Gyeongsang National University College of Medicine and Gyeongsang National University Hospital, Jinju, Korea.
出版信息
Medicine (Baltimore). 2021 Dec 10;100(49):e27903. doi: 10.1097/MD.0000000000027903.
RATIONALE
Schwannoma in the breast parenchyma is very unusual. It usually develops on the head, neck, and extensor surfaces of the upper and lower extremities.
PATIENT CONCERNS
We report a case of a 60-year-old woman with a palpable and painful mass. Clinically, she experienced neuropathic pain at the mass site.
DIAGNOSES
The tumor was a 1 cm, well-circumscribed mass, and revealed schwannoma on core needle biopsy.
INTERVENTIONS
The patient underwent wide excision.
OUTCOMES
No postoperative complications were observed. A six-month follow-up revealed no recurrence.
LESSONS SUBSECTIONS
Although breast schwannoma is a very rare tumor, it is a very important consideration in case of a Breast Imaging-Report and Data System 4A lesion with a painful and palpable mass.
背景
乳腺实质内的神经鞘瘤非常罕见。它通常发生在头、颈和上下肢的伸展面。
病例报告
我们报告了一例 60 岁女性，触及到一处有触痛的肿块。临床上，她在肿块部位有神经病理性疼痛。
诊断
肿瘤为 1cm 大小、边界清楚的肿块，经核心针活检提示神经鞘瘤。
干预措施
患者接受了广泛切除。
结果
无术后并发症。6 个月随访未见复发。
教训小节
虽然乳腺神经鞘瘤是一种非常罕见的肿瘤，但在乳腺成像报告和数据系统（BI-RADS）4A 病变伴有疼痛和可触及的肿块时，应高度考虑到这种肿瘤。
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