Krause A, Gerber B, Rohde E, Küchenmeister I
Frauenklinik, Universität Rostock.
Zentralbl Gynakol. 1996;118(5):299-302.
We report on a 56 years old women with an enlarging breast mass in the region of an old scar due to a former diagnostic excision. Mammography and sonography were without value while MRT was suspicious for breast cancer. In the frozen section of the excised tissue a carcinoma was diagnosed and therefore a mastectomy performed. This diagnosis was in correct, instead a granulomatous process in the breast and the axillary lymph nodes took place. In respect to a pulmonary sarcoidosis and to laboratory results a true breast sarcoidosis may be supposed. It was also discussed whether it could be a lipogranulomatous pseudosarcoidosis.
我们报告了一名56岁女性,其在既往诊断性切除所致旧瘢痕区域出现乳房肿块且不断增大。乳腺X线摄影和超声检查无诊断价值,而磁共振成像(MRT)怀疑为乳腺癌。在切除组织的冰冻切片中诊断为癌,因此实施了乳房切除术。该诊断有误,实际上乳房及腋窝淋巴结发生了肉芽肿性病变。鉴于存在肺结节病及实验室检查结果,推测可能为真性乳房结节病。也讨论了其是否可能为脂肪肉芽肿性假结节病。