Shrateh Oadi N, Doudin Duha R A, Torman Yousef, Abulihya Mohand
Al-Quds University-School of Medicine, Abu-Dis, Jerusalem, Palestine.
Al-Quds University-School of Medicine, Abu-Dis, Jerusalem, Palestine.
Int J Surg Case Rep. 2023 Apr;105:108031. doi: 10.1016/j.ijscr.2023.108031. Epub 2023 Mar 23.
Fibroadenoma is one of the most common benign breast neoplasms, primarily affecting adolescents and young women. Infarction is uncommon in fibroadenomas, and when it occurs, it is usually associated with pregnancy or lactation, as well as FNA. We present a case of spontaneous infarction of breast fibroadenoma that was unrelated to the aforementioned risk factors and occurred outside of pregnancy and lactation.
A 22-year-old female presented with painful left breast lump with a sudden increase in size for 1 week duration. Physical examination revealed an irregular, well-defined, and mobile mass in the left breast measuring 5 cm × 4 cm. The mass was firm in consistency and showed tenderness. The clinical diagnosis of benign fibroadenoma of the breast was made and confirmed radiologically. A biopsy was planned. Microscopical examination showed pictures consistent with spontaneous infarction of benign fibroadenoma of the breast.
One case of infarcted fibroadenoma was diagnosed after one excision biopsy. No preceding fine-needle aspiration biopsy was performed in this case, nor was the patient pregnant or lactating at the time of the diagnosis.
Spontaneous infarction within fibroadenoma is a rare phenomenon in young females. The presence of painful lumps in fibroadenoma patients should be cautiously interpreted and diagnosed.
纤维腺瘤是最常见的乳腺良性肿瘤之一，主要影响青少年和年轻女性。纤维腺瘤梗死并不常见，一旦发生，通常与妊娠、哺乳以及细针穿刺抽吸活检（FNA）有关。我们报告一例乳腺纤维腺瘤自发性梗死病例，该病例与上述危险因素无关，且发生在非妊娠和哺乳期。
一名22岁女性因左侧乳腺出现疼痛性肿块且肿块大小在1周内突然增大前来就诊。体格检查发现左侧乳腺有一个不规则、边界清晰且可活动的肿块，大小为5厘米×4厘米。肿块质地坚硬，有压痛。临床诊断为乳腺良性纤维腺瘤，并经影像学检查确诊。计划进行活检。显微镜检查显示的图像符合乳腺良性纤维腺瘤自发性梗死。
经一次切除活检后诊断出一例梗死性纤维腺瘤。该病例未进行过细针穿刺活检，诊断时患者既未怀孕也未哺乳。
纤维腺瘤内的自发性梗死在年轻女性中是一种罕见现象。对于纤维腺瘤患者出现的疼痛性肿块，应谨慎解读和诊断。
