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乳腺良性腺肌上皮瘤:一例报告及影像特征回顾

Benign Adenomyoepithelioma of the Breast: A Case Report and Review of Imaging Features.

作者信息

Kovacs Timea A, Mourad Sophia N, Dakkak Andrew, Burger Matthew, Edison Michele

机构信息

Medicine, Florida State University College of Medicine, Pensacola, USA.

Medicine, Florida State University College of Medicine-Orlando Regional Campus, Orlando, USA.

出版信息

Cureus. 2024 Apr 16;16(4):e58421. doi: 10.7759/cureus.58421. eCollection 2024 Apr.

Abstract

Adenomyoepithelioma (AME) of the breast is a rare tumor that can be benign or malignant and has varied morphological features. We report a case of a 62-year-old female with a history of right breast cancer who presented with abnormal screening mammography. The detection, presentation, and varied imaging characteristics of AMEs are discussed. The nonspecific imaging and histologic appearance of AME are highlighted, emphasizing the need for representative biopsy samples and histopathological review for diagnosis. Our case underlines the importance of wide surgical excision with negative margins in the presence of diagnostic uncertainty, which corresponds with the current recommended treatment for AME to prevent recurrence.

摘要

乳腺腺肌上皮瘤(AME)是一种罕见肿瘤,可为良性或恶性,具有多种形态学特征。我们报告一例62岁女性,有右乳腺癌病史,因乳腺钼靶筛查异常前来就诊。文中讨论了AME的检测、表现及多样的影像学特征。强调了AME非特异性的影像学和组织学表现,突出了获取具有代表性的活检样本及进行组织病理学检查以明确诊断的必要性。我们的病例强调了在诊断存在不确定性时,进行切缘阴性的广泛手术切除的重要性,这与目前推荐的AME治疗方法相符,以预防复发。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e80a/11097617/a673ea6dd5c3/cureus-0016-00000058421-i01.jpg

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