Kang Ye Ju, Woo Ok Hee, Kim Aeree
Department of Radiology, Korea University Guro Hospital, College of Medicine, Korea University, Seoul, Korea.
Department of Pathology, Korea University Guro Hospital, Seoul, Korea.
J Breast Cancer. 2024 Feb;27(1):72-77. doi: 10.4048/jbc.2023.0119. Epub 2023 Nov 17.
Schwannomas are slow-growing benign tumors originating from the Schwann cells of the peripheral nerve sheaths. Herein, we report the first documented case of a schwannoma presenting as a painful nipple mass in a 32-year-old woman. This mass initially developed six years ago following a period of breastfeeding. Breast magnetic resonance imaging (MRI) scans revealed an iso-intense mass, with an approximate size of 2.2 cm, on a T1-weighted image with internal cystic changes. The mass exhibited heterogeneously delayed enhancement and restricted diffusion. Surgical excision was performed, and the diagnosis of cutaneous plexiform nipple schwannoma was confirmed histopathologically. A literature review revealed that the MRI findings of the nipple mass in our case were consistent with the common features of a schwannoma.
施万细胞瘤是起源于周围神经鞘膜施万细胞的生长缓慢的良性肿瘤。在此,我们报告首例有记录的施万细胞瘤病例,该病例表现为一名32岁女性的疼痛性乳头肿块。这个肿块最初是在母乳喂养一段时间后的六年前出现的。乳腺磁共振成像(MRI)扫描显示,在T1加权图像上有一个等强度肿块,大小约为2.2厘米,内部有囊性改变。该肿块表现为不均匀延迟强化和扩散受限。进行了手术切除,组织病理学确诊为皮肤丛状乳头施万细胞瘤。文献综述显示,我们病例中乳头肿块的MRI表现与施万细胞瘤的常见特征一致。