Koufopoulos Nektarios, Gouloumis Alina-Roxani, Dimas Dionysios T, Kontogeorgi Adamantia, Sitara Kyparissia, Boutas Ioannis
2nd Department of Pathology, National and Kapodistrian University of Athens, "Attikon" University Hospital, Athens, GRC.
Breast Unit, Athens Medical Center, Psychiko Clinic, Athens, GRC.
Cureus. 2022 Dec 9;14(12):e32371. doi: 10.7759/cureus.32371. eCollection 2022 Dec.
Mammary myofibroblastoma is a benign mesenchymal tumor composed of fibroblasts, myofibroblasts, and a variable number of adipocytes. Mammary myofibroblastoma usually occurs in men of older age and is less common in postmenopausal women. It may also happen in extramammary sites along the milk line. In this instance, it is referred to as mammary-type myofibroblastoma. Rarely multifocal and bilateral tumors have been described. Clinically and radiologically, it can be misinterpreted as a malignant tumor due to its rarity. Size usually does not exceed 3 cm. The diagnosis requires clinicopathological correlation with morphological and immunohistochemical evaluation, especially in limited biopsy specimens. We herewith describe a rare case of mammary myofibroblastoma in a 37-year-old female patient. We also review the literature focusing on the potential differential diagnostic issues and discuss this tumor's ultrastructural and cytogenetic findings.
乳腺肌纤维母细胞瘤是一种由成纤维细胞、肌纤维母细胞和数量不等的脂肪细胞组成的良性间叶性肿瘤。乳腺肌纤维母细胞瘤通常发生于老年男性,在绝经后女性中较少见。它也可能发生于沿乳线的乳腺外部位。在这种情况下,它被称为乳腺型肌纤维母细胞瘤。很少有关于多灶性和双侧肿瘤的描述。由于其罕见性,在临床和放射学上,它可能被误诊为恶性肿瘤。其大小通常不超过3厘米。诊断需要临床病理结合形态学和免疫组化评估,特别是在有限的活检标本中。我们在此描述一例37岁女性患者的罕见乳腺肌纤维母细胞瘤病例。我们还回顾了文献,重点关注潜在的鉴别诊断问题,并讨论了该肿瘤的超微结构和细胞遗传学发现。