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男性乳腺表皮样囊肿:如何与其他男性乳腺病变相鉴别。

Epidermal inclusion cyst in male breast: how to differentiate from other male breast lesions.

作者信息

Ak Murat, Yurtsever Cagri, Cakir Omer F, Yurtsever Nalan

机构信息

Department of Radiology, University of Pittsburgh Medical Center, 5115 Centre Ave, Pittsburgh, PA 15232, USA.

Department of Radiology, NYC Health Hospitals, Harlem, NY, USA.

出版信息

Radiol Case Rep. 2022 Aug 12;17(10):3919-3922. doi: 10.1016/j.radcr.2022.07.097. eCollection 2022 Oct.

DOI:10.1016/j.radcr.2022.07.097
PMID:36032200
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9399894/
Abstract

Male breast lesions are relatively less common. The most encountered malignant lesion in the male breast is ductal adenocarcinoma; and benign lesions are gynecomastia, fibrocystic disease, intramammary lymph node, fibroadenoma, lipoma and epidermal inclusion cyst (EIC), respectively [5,6]. To date, there had been published only a few cases of EIC of the male breast in literature [3,5,6]. In this case, we aimed to present a new case of EIC with its clinical, radiological and pathological characteristics in the male breast. It had benign sonographic and magnetic resonance imaging findings but had also malignant imaging findings with diffusion restriction on diffusion-weighted imaging.

摘要

男性乳腺病变相对较少见。男性乳腺最常见的恶性病变是导管腺癌;良性病变分别为男性乳房发育症、纤维囊性疾病、乳腺内淋巴结、纤维腺瘤、脂肪瘤和表皮样囊肿(EIC)[5,6]。迄今为止,文献中仅报道了少数男性乳腺EIC病例[3,5,6]。在此病例中,我们旨在呈现一例具有临床、放射学和病理学特征的男性乳腺EIC新病例。其超声和磁共振成像表现为良性,但在扩散加权成像上也有扩散受限的恶性成像表现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a84/9399894/f9916e72c192/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a84/9399894/c59a4f60ea80/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a84/9399894/9caa1541e589/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a84/9399894/57f195d4c021/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a84/9399894/f9916e72c192/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a84/9399894/c59a4f60ea80/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a84/9399894/9caa1541e589/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a84/9399894/57f195d4c021/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a84/9399894/f9916e72c192/gr4.jpg

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本文引用的文献

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Diffusion-weighted MRI for Unenhanced Breast Cancer Screening.弥散加权 MRI 在乳腺癌筛查中的应用。
Radiology. 2019 Dec;293(3):504-520. doi: 10.1148/radiol.2019182789. Epub 2019 Oct 8.
2
Cytological diagnosis of epidermal inclusion cyst of breast: A rare benign lesion.乳腺表皮样囊肿的细胞学诊断:一种罕见的良性病变。
J Nat Sci Biol Med. 2014 Jul;5(2):460-2. doi: 10.4103/0976-9668.136251.
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Breast ultrasonography: state of the art.乳腺超声检查:现状。
Diagnostics (Basel). 2023 Dec 7;13(24):3620. doi: 10.3390/diagnostics13243620.
Radiology. 2013 Sep;268(3):642-59. doi: 10.1148/radiol.13121606.
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Male breast disease: pictorial review with radiologic-pathologic correlation.男性乳腺疾病:影像学-病理学表现相关性综述
Radiographics. 2013 May;33(3):763-79. doi: 10.1148/rg.333125137.
5
Breast magnetic resonance imaging: diffusion-weighted imaging.乳腺磁共振成像:扩散加权成像
Magn Reson Imaging Clin N Am. 2013 May;21(2):321-36. doi: 10.1016/j.mric.2013.01.002.
6
Epidermal inclusion cyst in breast: Is it so rare?乳腺表皮样囊肿:真的如此罕见吗?
J Cytol. 2012 Jul;29(3):169-72. doi: 10.4103/0970-9371.101165.
7
Nonmalignant breast lesions: ADCs of benign and high-risk subtypes assessed as false-positive at dynamic enhanced MR imaging.非恶性乳腺病变:在动态增强 MRI 评估中被误诊为阳性的良性和高危亚型的 ADC 值。
Radiology. 2012 Dec;265(3):696-706. doi: 10.1148/radiol.12112672. Epub 2012 Oct 2.
8
Imaging approaches to diagnosis and management of common ductal abnormalities.常见胆管异常的诊断和管理的影像学方法。
Radiographics. 2012 Jul-Aug;32(4):1009-30. doi: 10.1148/rg.324115150.
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