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男性患者美容手术后发生的乳腺韧带样型纤维瘤病:1例罕见病例报告

Desmoid-type fibromatosis of the breast in a male patient following cosmetic surgery: a rare case report.

作者信息

Correa Sandoval Diana Carolina, Gonzalez Reyes Javier, Guajardo Nieto Diego Alberto, Guzman Murguia Jose Luis

机构信息

Vicerrectoria de Ciencias de la Salud, Universidad de Monterrey, San Pedro Garza Garcia, Nuevo Leon, Mexico.

Departamento de Enseñanza de Hospital Angeles Valle Oriente, San Pedro Garza Garcia, Nuevo Leon, Mexico.

出版信息

Front Oncol. 2024 Dec 17;14:1438050. doi: 10.3389/fonc.2024.1438050. eCollection 2024.

DOI:10.3389/fonc.2024.1438050
PMID:39741980
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11685193/
Abstract

BACKGROUND

Desmoid-type fibromatosis of the breast is a rare, benign, but locally aggressive tumor that typically affects women. Its presentation in male patients is exceedingly rare, and even more so following a cosmetic procedure such as liposuction. This case report describes a unique presentation of breast fibromatosis in a male patient, who developed the condition after undergoing liposuction for cosmetic purposes to define the pectoral area. The case highlights the diagnostic challenges it poses due to its malignancy-like appearance on imaging.

MATERIALS AND METHODS

A 28-year-old male patient presented with a right palpable mass in the breast following a liposuction procedure aimed at enhancing pectoral definition. Imaging studies, including ultrasound and MRI, raised suspicion of a malignancy. However, histopathological analysis from a core needle biopsy revealed fibromatosis. The patient underwent surgical excision of the tumor, and histological evaluation confirmed the diagnosis of benign desmoid-type breast fibromatosis.

RESULTS

Histopathological examination revealed benign fibromatosis with no evidence of malignancy. The tumor was completely excised with clear margins, and the patient has had no signs of recurrence during the follow-up period.

CONCLUSIONS

This case highlights the rare occurrence of breast fibromatosis in a male patient following liposuction for cosmetic purposes. Given its ability to mimic malignancy on imaging, early diagnosis and complete surgical excision are essential for effective management and to prevent recurrence.

摘要

背景

乳腺韧带样型纤维瘤病是一种罕见的良性但具有局部侵袭性的肿瘤,通常影响女性。其在男性患者中的表现极为罕见,在诸如抽脂等美容手术后更是如此。本病例报告描述了一名男性患者乳腺纤维瘤病的独特表现,该患者在出于美容目的进行抽脂以界定胸肌区域后患上此病。该病例凸显了因其在影像学上类似恶性肿瘤的表现而带来的诊断挑战。

材料与方法

一名28岁男性患者在进行旨在改善胸肌轮廓的抽脂手术后,右侧乳房出现可触及肿块。包括超声和MRI在内的影像学检查怀疑为恶性肿瘤。然而,粗针活检的组织病理学分析显示为纤维瘤病。患者接受了肿瘤手术切除,组织学评估证实为良性韧带样型乳腺纤维瘤病。

结果

组织病理学检查显示为良性纤维瘤病,无恶性证据。肿瘤被完整切除,切缘清晰,患者在随访期间无复发迹象。

结论

本病例凸显了男性患者在出于美容目的抽脂后发生乳腺纤维瘤病的罕见情况。鉴于其在影像学上有类似恶性肿瘤的表现,早期诊断和完整手术切除对于有效治疗和预防复发至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ed0/11685193/efb308be3e8a/fonc-14-1438050-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ed0/11685193/b1761766de4a/fonc-14-1438050-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ed0/11685193/cb4940a97fa8/fonc-14-1438050-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ed0/11685193/c055d0750c84/fonc-14-1438050-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ed0/11685193/efb308be3e8a/fonc-14-1438050-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ed0/11685193/b1761766de4a/fonc-14-1438050-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ed0/11685193/cb4940a97fa8/fonc-14-1438050-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ed0/11685193/c055d0750c84/fonc-14-1438050-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3ed0/11685193/efb308be3e8a/fonc-14-1438050-g004.jpg

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Cancers (Basel). 2023 Aug 2;15(15):3933. doi: 10.3390/cancers15153933.
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Imaging modalities used in mammary fibromatosis.乳腺纤维瘤病中使用的成像方式。
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Bilateral breast desmoid-type fibromatosis, case report and literature review.双侧乳腺韧带样型纤维瘤病:病例报告及文献综述
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