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乳腺黏液囊肿样病变(MLL):一例病例报告及文献综述

Breast Mucocele-like lesions (MLL): A case report and review of the literature.

作者信息

Eddin Assim Saad, Hsieh Su Kim, Policeni Fabiana

机构信息

Department of Radiology, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, Iowa City, IA 52242, USA.

出版信息

Radiol Case Rep. 2023 Dec 28;19(3):1083-1089. doi: 10.1016/j.radcr.2023.12.017. eCollection 2024 Mar.

DOI:10.1016/j.radcr.2023.12.017
PMID:38229604
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10789929/
Abstract

Mucocele-like lesions of the breast are rare, usually presenting themselves as suspicious findings on imaging, warranting biopsies. It can be associated with several degrees of hyperplasia, including atypical ductal hyperplasia and ductal carcinoma in situ, historically being considered a high-risk lesion. It also can be an underestimated invasive carcinoma in a percutaneous biopsy. When facing a histologic diagnosis of a mucocele-lesion in a percutaneous biopsy, it is important to be aware of these lesions' significance to make the most appropriate interpretation, recommendation, and management. The purpose of this work is to present some cases of breast mucocele-like lesions from our Institution and perform a review of the literature.

摘要

乳腺黏液囊肿样病变罕见,通常在影像学检查中表现为可疑发现,需要进行活检。它可伴有不同程度的增生,包括非典型导管增生和原位导管癌,历来被视为高危病变。在经皮活检中,它也可能是被低估的浸润性癌。当经皮活检出现黏液囊肿样病变的组织学诊断时,了解这些病变的意义对于做出最恰当的解读、建议和处理非常重要。本文旨在展示我院的一些乳腺黏液囊肿样病变病例,并对相关文献进行综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d2c1/10789929/ae4525c4ef5b/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d2c1/10789929/9f81258f4a56/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d2c1/10789929/c0b183cebf7e/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d2c1/10789929/9373bb0e6fd4/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d2c1/10789929/dd8721dfd464/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d2c1/10789929/568f53ae8c0d/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d2c1/10789929/ae4525c4ef5b/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d2c1/10789929/9f81258f4a56/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d2c1/10789929/c0b183cebf7e/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d2c1/10789929/9373bb0e6fd4/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d2c1/10789929/dd8721dfd464/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d2c1/10789929/568f53ae8c0d/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d2c1/10789929/ae4525c4ef5b/gr6.jpg

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本文引用的文献

1
Spectrum of Mucin-containing Lesions of the Breast: Multimodality Imaging Review with Pathologic Correlation.乳腺黏液性病变的影像学表现:多模态影像学表现与病理对照分析。
Radiographics. 2023 Oct;43(10):e230015. doi: 10.1148/rg.230015.
2
Mucocele-Like Lesion of the Breast.乳腺黏液囊肿样病变
Cureus. 2023 Apr 19;15(4):e37829. doi: 10.7759/cureus.37829. eCollection 2023 Apr.
3
The Spectrum of Mucinous Lesions of the Breast.乳腺黏液性病变的谱系
Arch Pathol Lab Med. 2023 Jan 1;147(1):19-29. doi: 10.5858/arpa.2022-0054-RA.
4
Mucocele-like lesions of the breast - A radiological and clinicopathological analysis.乳腺黏液样病变——一种影像学和临床病理分析。
Curr Probl Cancer. 2021 Dec;45(6):100762. doi: 10.1016/j.currproblcancer.2021.100762. Epub 2021 Jun 13.
5
Mucocele-like Lesion of the Breast Diagnosed on Core Biopsy.乳腺的黏液样病变:在核心活检中诊断。
Arch Pathol Lab Med. 2022 Jan 2;146(2):213-219. doi: 10.5858/arpa.2020-0497-OA.
6
Mucocelelike Lesions in the Breast: Radiologic and Clinicopathologic Correlations With Upgrade Rate.乳腺黏液样病变:与升级率相关的放射学及临床病理相关性。
AJR Am J Roentgenol. 2018 Jun;210(6):1386-1394. doi: 10.2214/AJR.17.18515. Epub 2018 Apr 27.
7
Mucocele-Like Lesions of the Breast: Rate of Upstaging and Cancer Development.乳腺黏液囊肿样病变:分期升级及癌症发生几率
Ann Surg Oncol. 2016 Nov;23(12):3838-3842. doi: 10.1245/s10434-016-5352-7. Epub 2016 Jun 30.
8
Mucocele-like lesions of the breast: a clinical outcome and histologic analysis of 102 cases.乳腺黏液囊肿样病变:102例临床结果及组织学分析
Hum Pathol. 2016 Mar;49:33-8. doi: 10.1016/j.humpath.2015.10.004. Epub 2015 Oct 31.
9
A pure mucocele-like lesion of the breast diagnosed on ultrasonography-guided core-needle biopsy: is imaging follow-up sufficient?超声引导下粗针活检诊断的单纯乳腺黏液样病变:是否需要影像学随访?
Ultrasonography. 2015 Apr;34(2):133-8. doi: 10.14366/usg.14036. Epub 2014 Dec 27.
10
Focal extravasated mucin in breast core needle biopsies: is surgical excision always necessary?乳腺芯针活检中局灶性外溢黏蛋白:是否总是需要手术切除?
Breast J. 2013 May-Jun;19(3):302-9. doi: 10.1111/tbj.12104. Epub 2013 Mar 28.