Silverman J F, Raso D S, Elsheikh T M, Lannin D
Department of Pathology and Laboratory Medicine, East Carolina University School of Medicine, Greenville, North Carolina, USA.
Diagn Cytopathol. 1998 Jun;18(6):441-4. doi: 10.1002/(sici)1097-0339(199806)18:6<441::aid-dc11>3.0.co;2-h.
We report on the fine-needle aspiration (FNA) cytology of a subareolar abscess of the breast in a 45-yr-old man. The patient presented with a 1.5-cm mass in the subareolar region. FNA cytology demonstrated the presence of numerous anucleated squamous cells and a few small nucleated squamous cells as well as numerous neutrophils and some lymphocytes in the background. Histiocytes were also present, including some multinucleated foreign-body-type giant cells. No organisms were identified either with special stains or microbiologic cultures. The differential diagnosis of FNA of the male breast is presented, along with other lesions that can potentially contain either benign or malignant squamous cells in the aspirate. The correct FNA diagnosis of this unusual benign lesion involving the male breast should lead to the appropriate treatment. To the best of our knowledge, this is the first published report of FNA cytology of a subareolar abscess of the male breast.
我们报告了一名45岁男性乳晕下乳腺脓肿的细针穿刺（FNA）细胞学检查结果。患者乳晕下区域出现一个1.5厘米的肿块。FNA细胞学检查显示，背景中有大量无核鳞状细胞、少数有核小鳞状细胞、大量中性粒细胞和一些淋巴细胞。也存在组织细胞，包括一些多核异物型巨细胞。特殊染色或微生物培养均未发现病原体。本文介绍了男性乳腺FNA的鉴别诊断，以及其他在穿刺物中可能含有良性或恶性鳞状细胞的病变。对这种累及男性乳腺的罕见良性病变进行正确的FNA诊断，应能指导恰当的治疗。据我们所知，这是关于男性乳晕下乳腺脓肿FNA细胞学检查的首篇发表报告。
