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乳腺乳头状内皮细胞增生(Masson 瘤):诊断难题。

Papillary endothelial hyperplasia (Masson's tumor) of the breast: A diagnostic challenge.

机构信息

Servicio de Radiodiagnóstico, Hospital Universitario Miguel Servet, Zaragoza, Spain.

Servicio de Radiodiagnóstico, Hospital Universitario Miguel Servet, Zaragoza, Spain.

出版信息

Radiologia (Engl Ed). 2024 Jul-Aug;66(4):381-385. doi: 10.1016/j.rxeng.2023.03.007. Epub 2024 Jul 17.

Abstract

Papillary endothelial hyperplasia (PEH) or Masson's tumor is a rare benign vascular tumor that usually appears in the soft tissues of the head and neck, trunk and extremities, being extremely rare in the breast. Its diagnosis can be a challenge, especially in the follow-up of patients with previous disease of breast carcinoma. We present the case of a 65-year-old patient, with a history of bilateral breast cancer and reconstruction with implants, who presented a Masson's tumor during follow-up. An ultrasound scan was performed, showing a well-circumscribed mass in the left breast, located in the posterior contour of the implant. Subsequently, magnetic resonance imaging (MR) depicted an enhancing tumor, without infiltration of adjacent structures. Finally, the definitive anatomopathological diagnosis was obtained after surgical excision.

摘要

乳头状内皮细胞增生症(PEH)或 Masson 瘤是一种罕见的良性血管肿瘤,通常出现在头颈部、躯干和四肢的软组织中,在乳房中极为罕见。其诊断具有一定挑战性,特别是在患有乳腺癌病史的患者随访中。我们报告了一例 65 岁女性病例,她患有双侧乳腺癌并接受了植入物重建,在随访中发现了 Masson 瘤。进行了超声检查,显示左乳房内有一个边界清楚的肿块,位于植入物的后轮廓处。随后,磁共振成像(MRI)显示一个增强的肿瘤,没有侵犯相邻结构。最终,通过手术切除获得了明确的解剖病理学诊断。

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