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乳房异物:一例病例报告。

Foreign Body in the Breast: A Case Report.

作者信息

Baysal Hakan, Eren Tunc, Erdem Gulnur, Karatas Celal, Baysal Begumhan, Alimoglu Orhan

机构信息

General Surgery, Istanbul Medeniyet University Göztepe Prof. Dr. Süleyman Yalçın Şehir Hastanesi, Istanbul, TUR.

Radiology, Istanbul Medeniyet University, Istanbul, TUR.

出版信息

Cureus. 2024 Nov 6;16(11):e73162. doi: 10.7759/cureus.73162. eCollection 2024 Nov.

DOI:10.7759/cureus.73162
PMID:39650956
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11623980/
Abstract

Foreign bodies in the breast are rarely encountered and may infrequently lead to complications such as persistent breast pain, abscess, and/or granuloma formation, pneumothorax, or cardiac tamponade. We aimed to present a case with a foreign body in her right breast, which was diagnostically missed in previous screenings. A 44-year-old asymptomatic woman, who was included in the national breast cancer screening program, was found to have a 2 cm-sized metallic foreign body in the upper-outer quadrant of her right breast via mammographic imaging. Retrospective clinical evaluations revealed that the foreign body had been present in her breast for at least five years. She was successfully treated via wire-assisted surgery. Although they may remain asymptomatic for long periods, foreign bodies detected in the breast are suggested to be surgically removed due to the possibility of considerable subsequent local or thoracic complications.

摘要

乳房内的异物很少见,可能偶尔会导致诸如持续性乳房疼痛、脓肿和/或肉芽肿形成、气胸或心脏压塞等并发症。我们旨在介绍一例右乳有异物的病例,该异物在之前的筛查中被漏诊。一名44岁无症状女性参加了国家乳腺癌筛查项目,通过乳腺钼靶成像发现其右乳外上象限有一个2厘米大小的金属异物。回顾性临床评估显示,该异物在她乳房内至少已存在五年。她通过钢丝辅助手术成功治愈。尽管乳房内检测到的异物可能长期无症状,但由于随后可能出现严重的局部或胸部并发症,建议手术取出。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e68d/11623980/a999376cdcd7/cureus-0016-00000073162-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e68d/11623980/f12ff91aa709/cureus-0016-00000073162-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e68d/11623980/00746d8a5128/cureus-0016-00000073162-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e68d/11623980/a999376cdcd7/cureus-0016-00000073162-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e68d/11623980/f12ff91aa709/cureus-0016-00000073162-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e68d/11623980/00746d8a5128/cureus-0016-00000073162-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e68d/11623980/a999376cdcd7/cureus-0016-00000073162-i03.jpg

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本文引用的文献

1
Glass shards masquerading as calcifications in the breast: A case report.伪装成乳腺钙化的玻璃碎片:一例报告。
Radiol Case Rep. 2023 Dec 22;19(3):983-987. doi: 10.1016/j.radcr.2023.12.011. eCollection 2024 Mar.
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Intraperitoneal migration of a hookwire following wide local excision of a breast lesion presenting as a spontaneous pneumothorax.
乳腺病变广泛局部切除后,钩线发生腹腔内迁移,表现为自发性气胸。
BMJ Case Rep. 2021 Aug 5;14(8):e244086. doi: 10.1136/bcr-2021-244086.
4
Extraction of a Foreign Body from the Breast Using Radio-guided Occult Lesion Localization (ROLL): Metallic Foreign Body in the Breast.使用放射性引导隐匿性病变定位技术(ROLL)从乳房中取出异物:乳房中的金属异物
Eur J Breast Health. 2017 Jul 1;13(3):159-160. doi: 10.5152/ejbh.2017.3428. eCollection 2017 Jul.
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Extraction of a foreign body from the breast parenchyma using radioguided occult lesion localisation (ROLL) technique: a new approach.应用放射性核素导向隐匿性病灶定位(ROLL)技术从乳腺实质中取出异物:一种新方法。
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Forensic Sci Int. 2004 Jan 28;139(2-3):237-9. doi: 10.1016/j.forsciint.2003.10.013.
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Sonographically guided mammotome extraction of retained localization wire.超声引导下乳腺旋切刀取出留置定位线
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Wire fragments after needle localization.针定位后的金属丝碎片
AJR Am J Roentgenol. 1996 Nov;167(5):1267-9. doi: 10.2214/ajr.167.5.8911193.