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乳腺腺脂肪瘤:病例报告。

Adenolipoma of the Breast: A Case Report.

机构信息

Department of Pathology, Nepal Police Hospital, Kathmandu, Nepal.

Department of Surgery, Nepal Police Hospital, Kathmandu, Nepal.

出版信息

JNMA J Nepal Med Assoc. 2021 Nov 15;59(243):1189-1191. doi: 10.31729/jnma.6925.

Abstract

Adenolipoma of the breast is a rare tumor classified as a hamartomatous lesion. It is a well-circumscribed lesion composed of adipocytes and other breast tissues. The characteristic feature is a well-circumscribed mass containing radiolucent fat admixed with dense fibrous connective tissue surrounded by a thin radiopaque pseudo capsule. Microscopically, there is a mixture of ducts and lobules with adipose tissue. Ductal hyperplasia, adenosis, calcification, and apocrine metaplasia may occur within the hamartoma. These are rarely associated with malignancies and excision is considered curative. If these lesions are not detected clinically or radiologically, these remain unrecognized. Awareness of this poorly recognized benign entity would help avoid an incorrect diagnosis and unnecessary intervention. Here we present a case of a 35-year-old female diagnosed histologically as adenolipoma of the breast.

摘要

乳房腺脂肪瘤是一种罕见的肿瘤,被归类为错构瘤病变。它是一种边界清楚的病变,由脂肪细胞和其他乳腺组织组成。其特征性表现为边界清楚的肿块,含有透亮脂肪与密集纤维结缔组织混合,周围有薄的不透射线假包膜。镜下,可见导管和小叶混合存在,并有脂肪组织。错构瘤内可出现导管增生、腺病、钙化和大汗腺化生。这些很少与恶性肿瘤相关,切除被认为是可治愈的。如果这些病变在临床上或影像学上没有被发现,它们仍然无法被识别。认识到这种认识不足的良性实体将有助于避免错误的诊断和不必要的干预。在此,我们报告一例 35 岁女性的病例,组织学诊断为乳房腺脂肪瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb01/9124321/3fb1510b8fb5/JNMA-59-243-1189-g1.jpg

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