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腋窝纤维腺瘤:一种不寻常的临床表现。

Axillary Fibroadenoma: An Unusual Clinical Presentation.

作者信息

Rodrigues Maria L, Shetty Prathvi, D'Souza Sueallen L

机构信息

Department of General Surgery, Father Muller Medical College, Mangalore, IND.

Department of Pathology, Father Muller Medical College, Mangalore, IND.

出版信息

Cureus. 2024 Nov 18;16(11):e73888. doi: 10.7759/cureus.73888. eCollection 2024 Nov.

DOI:10.7759/cureus.73888
PMID:39697919
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11653095/
Abstract

Axillary swellings, particularly in women, often raise suspicion due to the high association of such swellings with breast carcinoma manifesting as metastatic lymph node involvement. Tuberculous lymphadenopathy is one of the primary diagnoses in India. Fibroadenomas are common benign breast tumors, but their occurrence in the axilla, arising from ectopic breast tissue (EBT), is rare and may present a diagnostic challenge. This report presents a case of a patient with axillary swelling, initially suspected to be isolated lymphadenopathy, which was later diagnosed as a fibroadenoma. The case highlights the clinical significance of swelling in the axilla, such as ectopic breast tissue, which undergoes physiological changes similar to those of normal breast tissue. Additionally, pathological changes can occur in this tissue, making diagnosis challenging. Swelling in the axilla can pose a diagnostic dilemma, and pathologies associated with ectopic breast tissue require careful consideration.

摘要

腋窝肿物,尤其是女性患者的腋窝肿物,常常引发怀疑,因为此类肿物与表现为转移性淋巴结受累的乳腺癌高度相关。在印度,结核性淋巴结病是主要诊断之一。纤维腺瘤是常见的乳腺良性肿瘤,但起源于异位乳腺组织(EBT)的腋窝纤维腺瘤很少见,可能带来诊断挑战。本报告介绍了一例腋窝肿物患者,最初怀疑为孤立性淋巴结病,后来诊断为纤维腺瘤。该病例突出了腋窝肿物(如异位乳腺组织)的临床意义,异位乳腺组织会经历与正常乳腺组织相似的生理变化。此外,该组织也会发生病理改变,增加诊断难度。腋窝肿物可能造成诊断困境,与异位乳腺组织相关的病理情况需要仔细考虑。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7db/11653095/ee827142e1f7/cureus-0016-00000073888-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7db/11653095/dd3685bd677c/cureus-0016-00000073888-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7db/11653095/f417046ed64d/cureus-0016-00000073888-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7db/11653095/ee827142e1f7/cureus-0016-00000073888-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7db/11653095/dd3685bd677c/cureus-0016-00000073888-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7db/11653095/f417046ed64d/cureus-0016-00000073888-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7db/11653095/ee827142e1f7/cureus-0016-00000073888-i03.jpg

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本文引用的文献

1
A Comprehensive Review of Breast Fibroadenoma: Correlating Clinical and Pathological Findings.乳腺纤维腺瘤综合综述:临床与病理结果的关联
Cureus. 2023 Dec 5;15(12):e49948. doi: 10.7759/cureus.49948. eCollection 2023 Dec.
2
Kajava Classification: The Person and the Research.卡贾瓦分类法:人与研究。
Aesthetic Plast Surg. 2023 Oct;47(5):2177-2178. doi: 10.1007/s00266-023-03451-7. Epub 2023 Jun 22.
3
Case report: Axilla fibroadenoma - An atypical presentation.病例报告:腋窝纤维腺瘤——一种非典型表现。
Ann Med Surg (Lond). 2022 Aug 5;80:104295. doi: 10.1016/j.amsu.2022.104295. eCollection 2022 Aug.
4
Surgery for fibroadenoma arising from axillary accessory breast.腋窝副乳腺纤维腺瘤的手术治疗。
BMC Womens Health. 2021 Apr 7;21(1):139. doi: 10.1186/s12905-021-01278-5.
5
Fibroadenomas: a multidisciplinary review of the variants.纤维腺瘤:一种变体的多学科综述。
Clin Imaging. 2021 Mar;71:83-100. doi: 10.1016/j.clinimag.2020.10.058. Epub 2020 Nov 6.
6
Fibroadenoma in Axillary Ectopic Breast Tissue Mimicking Lymphadenopathy.腋窝异位乳腺组织中的纤维腺瘤酷似淋巴结病。
J Clin Diagn Res. 2017 Mar;11(3):ED01-ED02. doi: 10.7860/JCDR/2017/23295.9358. Epub 2017 Mar 1.