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乳腺结节性黏蛋白沉积症:三例报告

Nodular mucinosis of the breast: report of three cases.

作者信息

Michal M, Ludvíková M, Zámecník M

机构信息

Department of Pathology, Faculty Hospital, Pilsen, Czech Republic.

出版信息

Pathol Int. 1998 Jul;48(7):542-4. doi: 10.1111/j.1440-1827.1998.tb03946.x.

Abstract

Three cases of nodular mucinosis of the breast are presented. They occurred in one male and two female patients. The patients had no signs of Carney's syndrome. All lesions were located under the nipple. They were poorly circumscribed and unencapsulated. They were soft and had a gelatinous consistency and white color. No patient had any evidence of recurrence or metastasis 6 months, 3 years and 6 years, respectively, after the surgical excision. The mucinous tissue consisted of acid mucopolysaccharides, which stained Alcian blue, Hale's colloidal iron positively, and they were periodic acid-Schiff (PAS) negative. Mucicarmine reaction was only faintly positive. The lesion should be distinguished particularly from mucocele-like lesions of the breast by the location, nodular arrangement, absence of accompanying ductal hyperplasia and staining properties of the mucous substances.

摘要

本文报告3例乳腺结节性黏液病。1例男性和2例女性患者发病。患者无卡尼综合征体征。所有病变均位于乳头下方。边界不清,无包膜。质地柔软,呈胶冻样,颜色为白色。手术切除后,分别在6个月、3年和6年时,无患者出现复发或转移迹象。黏液组织由酸性黏多糖组成,阿利新蓝、黑尔胶体铁染色阳性,过碘酸希夫(PAS)染色阴性。黏液卡红反应仅呈弱阳性。该病变应特别通过其位置、结节状排列、无伴发的导管增生以及黏液物质的染色特性与乳腺黏液囊肿样病变相鉴别。

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