Ann Ital Chir. 2022 Feb 25;11:S2239253X22036945.
Angiolipoma is uncommon lesion in the breast and has clinical importance due to the potential of confusion with malignant breast lesions. To date, there is no defined diagnosis and treatment algorithm for breast angiolipomas. We aim to contribute to the literature for the diagnosis and treatment of angiolipomas with this case report and literature review.
A 29-year-old male patient presented with a newly emerged palpable mass in the right breast. Physical examination revealed a palpable mass in the lower inner quadrant of the right breast without any presence of skin changes, nipple discharge or palpable axillary lymph nodes. The lesion was found to be 3 cm in diameter and showed minimal vascularization on Doppler Ultrasound examination. Surgical excision of the lesion was performed and the lesion was diagnosed as angiolipoma.
Angiolipomas of the breast in male are rare pathological entities and must always be considered during differential diagnosis, as it can be confused clinically, radiologically and pathologically with other lesions, especially with malignant lesions KEY WORDS: Angiolipoma, Breast, Male breast lesions.
血管脂肪瘤在乳腺中较为少见,由于其与恶性乳腺病变可能存在混淆,因此具有临床重要性。迄今为止,对于乳腺血管脂肪瘤尚无明确的诊断和治疗方案。我们旨在通过本病例报告和文献复习为血管脂肪瘤的诊断和治疗提供文献依据。
一名 29 岁男性患者因右侧乳腺新出现可触及肿块就诊。体格检查发现右侧乳腺下内象限可触及一肿块,无皮肤改变、乳头溢液或可触及腋窝淋巴结。病变直径为 3 厘米,多普勒超声检查显示其血管化程度较低。对病变进行了手术切除,诊断为血管脂肪瘤。
男性乳腺血管脂肪瘤是罕见的病理实体,在鉴别诊断过程中必须始终考虑到这一点,因为它在临床上、影像学和病理学上可能与其他病变混淆,尤其是与恶性病变混淆。关键词:血管脂肪瘤、乳腺、男性乳腺病变。