Choi J S, Bae J Y, Jung W H
Department of Surgery, Yonsei University College of Medicine, Seoul, Korea.
Yonsei Med J. 1996 Aug;37(4):284-9. doi: 10.3349/ymj.1996.37.4.284.
We report three cases of adenomyoepithelioma of the breast that occurred in middle aged women. The tumor is characterized by a balanced proliferation of epithelial tubules and surrounding myoepithelial cells that are spindle shaped or have clear cytoplasms. The first case mimicked tubular adenoma in the initial biopsy. However, on excision it turned out to be an adenomyoepithelioma of the tubular. The other two cases were lobulated types and had fibroadenomatous areas. The morphologic appearance of this tumor varies, making it misleading to other benign or even malignant lesions. The tumor has a potential for local recurrence, therefore, wide excision is recommended for proper diagnosis and treatment.
我们报告了三例发生在中年女性的乳腺腺肌上皮瘤。该肿瘤的特征是上皮小管和周围梭形或具有透明细胞质的肌上皮细胞平衡增殖。第一例在初次活检时酷似管状腺瘤。然而，切除后发现是管状腺肌上皮瘤。另外两例为分叶型，并有纤维腺瘤样区域。该肿瘤的形态外观各异，易与其他良性甚至恶性病变相混淆。该肿瘤有局部复发的可能，因此，建议广泛切除以进行正确的诊断和治疗。
