Yang W T, Suen M, Ho W S, Metreweli C
Department of Radiology, Chinese University of Hong Kong, Hong Kong.
Clin Radiol. 1996 Feb;51(2):130-3. doi: 10.1016/s0009-9260(96)80271-6.
Paraffinomas are uncommon lesions occasionally encountered in the breast. The clinical and radiological (mammographic, ultrasound and plain film) features are presented in five patients with breast paraffinomas, one of whom had synchronous infiltrative ductal carcinoma. Histopathological correlation was available in two patients. Women with a history of paraffin injections into the breast may present decades later with hard, nodular breast masses simulating breast cancer. Dense fibrosis particularly in the retroglandular midbreast region causing streaky opacities and bizarre architectural distortion on mammography suggests the diagnosis. Flocculent, amorphous, ring or rounded calcifications may also be present within the breast and axilla. Migration of liquid paraffin through the tissue planes can result in diffuse conglomerate calcification in the chest and abdominal walls.
石蜡瘤是乳腺中偶尔遇到的罕见病变。本文介绍了5例乳腺石蜡瘤患者的临床和放射学（乳腺X线摄影、超声和X线平片）特征，其中1例同时患有浸润性导管癌。2例患者有组织病理学相关性。有乳腺注射石蜡病史的女性可能在数十年后出现坚硬的结节状乳腺肿块，酷似乳腺癌。乳腺X线摄影显示致密纤维化，尤其是乳腺后中区，导致条纹状混浊和怪异的结构扭曲，提示诊断。乳腺和腋窝内也可能出现絮状、无定形、环状或圆形钙化。液态石蜡通过组织平面迁移可导致胸壁和腹壁弥漫性团块状钙化。
