Das D K, Gupta S K, Mathew S V, Sheikh Z A, al-Rabah N A
Cytology Laboratory, Mubarak Al-Kabeer Hospital, Kuwait.
Acta Cytol. 1994 Mar-Apr;38(2):130-5.
Sixty-nine cases of axillary accessory breast tissue, including its physiologic changes and pathologic lesions, were diagnosed by fine needle aspiration cytology. The age of the patients ranged from 13 to 40 years, with a median of 25, and all were female. The cases presented with swellings in the left axilla in 16 cases, right axilla in 30 cases and both axillae in 23 cases. The common clinical diagnoses included accessory breast tissue (23.2%), lipomatous lesion (17.4%), lymphadenopathy (18.8%) and swellings not otherwise specified (30.4%). In 8.8% cases two of the possibilities were considered. The cytodiagnoses included axillary accessory breast tissue (47 cases), axillary breast tissue with pregnancy or lactational changes (15), cystic disease (4) and fibroadenoma (3). One of the cystic disease cases showed granulomatous inflammation. Although no case of carcinoma in axillary breast tissue was diagnosed during the study period, there were two cases of malignancy in axillary swellings (diagnosed as metastatic carcinoma) when no primary was detected in the breasts.
通过细针穿刺细胞学检查诊断出69例腋窝副乳腺组织病例，包括其生理变化和病理病变。患者年龄范围为13至40岁，中位数为25岁，均为女性。病例中左侧腋窝肿胀16例，右侧腋窝肿胀30例，双侧腋窝肿胀23例。常见的临床诊断包括副乳腺组织（23.2%）、脂肪瘤样病变（17.4%）、淋巴结病（18.8%）和未另行特指的肿胀（30.4%）。8.8%的病例考虑了两种可能性。细胞诊断包括腋窝副乳腺组织（47例）、伴有妊娠或哺乳期变化的腋窝乳腺组织（15例）、囊性疾病（4例）和纤维腺瘤（3例）。其中1例囊性疾病病例显示肉芽肿性炎症。虽然在研究期间未诊断出腋窝乳腺组织癌病例，但在乳房未检测到原发灶的情况下，有2例腋窝肿胀被诊断为恶性肿瘤（诊断为转移性癌）。
