S. Jagtap, Swati S. Jagtap, Nidhi Goswami, Neha Babasaheb Desai
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引用次数: 0
摘要
幼年纤维腺瘤是一种罕见的纤维腺瘤,其特点是迅速扩大,无痛,和单侧肿块。我们提出了一个14岁的女孩的青少年乳腺纤维腺瘤,表现为快速增长的肿块在右乳房四个月的持续时间。局部检查右乳上下外象限见一孤立、坚硬、可移动、单侧无压痛肿块,尺寸为6.5 x 4.1 x 3.5cm。覆盖的皮肤正常。未见腋窝淋巴结病变。右乳腺超声检查显示单个、椭圆形、低回声、边界清晰的肿块病变,伴有裂隙样间隙特征,提示复杂纤维腺瘤。细中吸细胞学检查显示增生的良性导管上皮细胞片、肌上皮细胞、良性双极核和血背景,未见炎症细胞。提示纤维腺瘤。她接受了右侧乳房肿瘤切除术并保留乳房。我们接受了右乳房肿瘤切除标本。大体可见一个界限分明的灰白色硬块,直径6.3 x 4.1 x 3.2 cm。右乳幼年纤维腺瘤的组织学特点。术后顺利,患者恢复良好,建议定期随访。幼年纤维腺瘤是一种罕见的乳腺良性肿瘤,应与乳腺其他肿块区分开来。在此,我们报告一例青少年纤维腺瘤的临床、放射影像、病理特征和处理。
Juvenile fibroadenoma is a rare variant of fibroadenoma and is characterized by rapidly enlarging, painless, and unilateral masses. We presents a case of juvenile fibroadenoma of the breast in a 14 year old girl, presented with rapidly growing mass in the right breast of four months duration. On local examination a solitary, firm, mobile, unilateral, non-tender mass was felt in the upper and lower outer quadrant of the right breast, measuring 6.5 x 4.1 x 3.5cm. The overlying skin was normal. There was no axillary lymphadenopathy. The sonomammography of the right breast showed a single, oval, hypoechoic, well circumscribed mass lesion with cleft like spaces features suggestive of complex fibroadenoma BIRADS IV a. On fine niddle aspiration cytology showed sheets of hyperplastic benign ductal epithelial cells with myoepithelial cells and a background of benign bipolar nuclei and blood, without inflammatory cells. It was suggestive of fibroadenoma. She underwent right lumpectomy with breast conservation. We received right breast lumpectomy specimen. On gross showed a well-circumscribed, grey white, firm mass m 6.3 x 4.1 x 3.2 cm. On histologic features reported as juvenile fibroadenoma right breast. The postoperative period was uneventful and she recovered well and advise regular follow up. Juvenile fibroadenomas are rare benign breast tumors that should be distinguished from other masses of breast. Herewith we are presenting case of Juvenile fibroadenoma for its clinical, radio imaging, pathological features and management.