Urso C
U.O. Anatomia Patologica, Ospedale S. Maria Annunziata, Firenze.
Pathologica. 1996 Jun;88(3):196-9.
A rare case of syringomatous carcinoma of the breast in a 64-year-old female patient is reported. The tumor, occurring in the left breast, measured 1 cm. A quadrantectomy was performed and the patient presented no further recurrence or metastasis. Histologically, the neoplasm was composed of small tubules, often dilated, sometimes with a "tadpole" appearance, lined by epithelial flattened cells, and of keratinizing squamous cysts embedded in a desmoplastic stroma. Some tumors occurring in other anatomic sites show histologic features similar to those of syringomatous carcinoma of the breast: infiltrating syringomatous adenoma of the nipple, syringomatous carcinoma of the skin, syringomatous adenocarcinoma of minor salivary glands; such lesions seem to be part of a group of neoplasms characterized by local infiltrative growth, absence of metastasis and characteristic histologic features (syringomatous tumors).
报告了一例64岁女性患者的罕见乳腺汗腺癌病例。肿瘤发生于左乳,大小为1厘米。进行了象限切除术,患者未出现进一步复发或转移。组织学上,肿瘤由小的小管组成,常呈扩张状,有时呈“蝌蚪”样外观,内衬扁平上皮细胞,还有嵌入促纤维增生性间质中的角化鳞状囊肿。发生于其他解剖部位的一些肿瘤显示出与乳腺汗腺癌相似的组织学特征:乳头浸润性汗腺腺瘤、皮肤汗腺癌、小涎腺汗腺腺癌;这些病变似乎是一组以局部浸润性生长、无转移和特征性组织学特征(汗腺肿瘤)为特点的肿瘤的一部分。