Incidental Finding of Breast Tumor After Scoliosis Surgery: A Case Report.

IF 1.7 Q2 SURGERY International Journal of Spine Surgery Pub Date : 2024-10-23 DOI:10.14444/8647

Yen-Chun Chiu, Shih-Chieh Yang, Yu-Hsien Kao, Chao-Ming Hung, Yuan-Kun Tu

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Abstract

Introduction: Breast asymmetry (BA) is a common condition in patients with adolescent idiopathic scoliosis (AIS). Physicians may misdiagnose a patient with a unilateral breast tumor as a normal condition related to scoliosis. The present report describes the case of a patient with a breast tumor that was detected incidentally after surgical correction of scoliosis.

Patient presentation and outcomes: A 21-year-old woman was diagnosed as having AIS and reported to our institute for management. Thoracic third to lumbar second vertebra instrumented spine de-rotation and associated fusion surgery were performed to correct the deformity. After the operation, enlargement of left breast volume and obvious BA were noted. Breast sonography was performed, and a large tumor was found. Finally, the biopsy revealed a fibroadenoma of the left breast.

Conclusions: In managing patients with scoliosis and BA, comprehensive consideration of other possible etiologies is crucial to prevent misdiagnosis. This article reminds physicians that breast tumors can be concealed by BA related to AIS.

Level of evidence: 5:

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脊柱侧弯手术后意外发现乳腺肿瘤：病例报告

简介乳房不对称（BA）是青少年特发性脊柱侧弯症（AIS）患者的常见症状。医生可能会将单侧乳房肿瘤患者误诊为与脊柱侧弯有关的正常情况。本报告描述了一例在脊柱侧弯手术矫正后偶然发现的乳腺肿瘤患者：一名 21 岁的女性被诊断为 AIS，并到我院接受治疗。为矫正畸形，进行了胸椎第三至腰椎第二椎体器械性脊柱去旋转及相关融合手术。术后发现左侧乳房体积增大，BA明显。进行了乳房超声检查，发现了一个巨大的肿瘤。最后，活组织检查发现左侧乳房纤维腺瘤：结论：在处理脊柱侧弯和乳腺增生症患者时，全面考虑其他可能的病因对防止误诊至关重要。本文提醒医生，乳腺肿瘤可能被与AIS相关的BA所掩盖：5:

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来源期刊

International Journal of Spine Surgery Medicine-Surgery

CiteScore

3.10

自引率

0.00%

发文量

162

期刊介绍： The International Journal of Spine Surgery is the official scientific journal of ISASS, the International Intradiscal Therapy Society, the Pittsburgh Spine Summit, and the Büttner-Janz Spinefoundation, and is an official partner of the Southern Neurosurgical Society. The goal of the International Journal of Spine Surgery is to promote and disseminate online the most up-to-date scientific and clinical research into innovations in motion preservation and new spinal surgery technology, including basic science, biologics, and tissue engineering. The Journal is dedicated to educating spine surgeons worldwide by reporting on the scientific basis, indications, surgical techniques, complications, outcomes, and follow-up data for promising spinal procedures.