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单侧全乳巨纤维腺瘤误诊为巨乳一例 总被引:1,自引:1,他引:0
乳腺纤维瘤病为青年女性的多发病,其发病原因与体内雌激素过度刺激或局部组织对雌激素的刺激特别敏感,导致乳腺导管上皮和间质异常增生有关,其中直径超过7 cm的瘤体被称为巨纤维腺瘤[1].该病容易被误诊为乳腺叶状囊肉瘤、乳腺癌,而误诊为巨乳的情况少见报道.2009年2月,笔者诊治了1例以巨乳为首诊的患者.现报道如下. 相似文献
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目的行巨乳缩小整形手术后不遗留明显瘢痕。方法采用以乳头为中心的双同心圆切口,去除表皮,同时切除以外上象限为主的乳腺组织,最后环形缩拢缝合。结果采用此法手术8例16侧,取得了仅有乳晕切口痕迹的满意效果。结论本术式行巨乳缩小简单、实用、易于掌握,值得推广应用。 相似文献
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重度的乳房肥大下垂 ,其下缘可达脐上、下 ,但下缘达腹股沟、大腿者甚为少见。 2 0 0 0年 10月我们收治 1例报道如下。1 病例 患者女 ,15岁。因患“肝豆状核变性”伴有四肢多动震颤 ,2 0 0 0年 3月在家服用“D 青霉胺” ,每日 12~ 18片 ,停药后发现双侧乳房逐渐增大 ,至 5月已增大明显 ,1个月前经安徽省神经病研究所诊断“肝豆状核变性”、“高血铜症” ,行正规排铜治疗 ,因乳房巨大 ,下坠负荷过重 ,严重影响生活 ,来我科要求整治。体检 :腰部前凸、胸驼背畸形 ,双侧乳房巨大 ,下缘至腹股沟、大腿上部 ,乳腺组织已脱离上胸壁 ,胸壁皮肤… 相似文献
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目的探讨一种切口瘢痕较小的乳房缩小整形术在巨乳治疗中的应用。方法去除乳晕周围皮肤的表皮,切除乳房下方梯形区域内的皮肤和乳腺组织,再以荷包缝合形成新乳晕,手术后仅在乳房下半留有一条垂直短小瘢痕。结果以该术式共治疗9例,效果良好,外观较满意,乳头血运、感觉良好,切口较隐蔽,并能够切除乳腺所有象限的肿物。结论该方法对于重度巨乳和合并有肿瘤的县乳的手术整复有其显著优点,值得推广。 相似文献
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巨乳缩小成形术,国内外报道很多,手术设计多种多样。本文就切口设计上,提出新乳头乳晕的定位及乳房下极切除后皮瓣弧线总长度与乳房下皱褶弧线长度相等的设计方法。通过7例14侧乳房手术的实践,认为此法设计简单、可行。 相似文献
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Breast hamartoma is a benign and rare tumour consisting of glandular fat and fibrous tissue. A 36-year old woman was admitted to our clinic, complaining of a mass in her right breast since two months. Ultrasonographic and mammographic examinations revealed a 10 cm mass diagnosed as fibroadenolipoma. Total excision of the mass was performed without any complication. Histopathological examination revealed fibroadenomatous hamartoma. 相似文献
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Kijima Y Yoshinaka H Higashi M Yokouchi M Komiya S Hisaoka M Aikou T 《Surgery today》2007,37(3):230-233
We report a case of metastatic breast tumor arising from a synovial sarcoma of the lower limb. A 27-year-old Japanese woman
was diagnosed to have synovial sarcoma 14 months prior to finding a mass in her left breast. An excisional biopsy was performed
and a metastatic synovial sarcoma to the breast was confirmed. Eight months after the resection of the breast lesion, the
patient developed local recurrences in both her knee and breast. A tumor resection of the limb lesion and a simple mastectomy
for the huge lesion, which was diagnosed to be a metastatic breast tumor without lymph node metastasis, were performed. After
the operation, the patient received adjuvant systemic chemotherapy. To the best of our knowledge, this is only the second
reported case of a solitary metastatic breast tumor arising from synovial sarcoma. 相似文献
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James Kurtz DO Deepa Halaharvi DO Shakir Sarwar MD Mark Cripe DO 《The breast journal》2016,22(3):342-346
Cases of bilateral inflammatory breast cancer (IBC) are extremely rare. Our search criteria only found one other record of metachronous bilateral IBC (1). We present the case of a patient who was treated for IBC with neoadjuvant chemotherapy, modified radical mastectomy (MRM), and whole breast radiation. Less than 1 year later, the patient had a recurrence of IBC on the left chest wall with in the radiated field, as well as a new IBC on the contralateral side. Bilateral IBC is extremely rare. This entity can present challenges for the standard treatment of IBC with neoadjuvant chemotherapy, MRM, and whole breast radiation (2). Our case study shows the importance of scheduled routine imaging, screening with physical examination after IBC management, and good patient compliance in this aggressive disease (3). 相似文献
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Alexandra Arfi MD Alice Clavier MD Jean F. Honart MD Samy Ammari MD Zahira Merabet MD Christine Mateus MD Julia Arfi‐Rouche MD 《The breast journal》2017,23(3):348-351
Carcinomatous lymphangitis accounts for 5% of all skin metastases, but blue lymphangitis of the breast has never been described. We report a case of blue lymphangitis of the breast in a patient 11 years after treatment for ipsilateral breast cancer that was in full remission. Breast examination and imaging showed no other abnormalities. Skin biopsy revealed a carcinomatous‐pigmented infiltration corresponding to melanoma metastasis, which helped highlight a primitive right flank injury. This case report emphasizes that a full body exam should always be performed with unusual presentation of breast cancer and reiterates the indispensable place of histology before any diagnosis. 相似文献
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Abstract: A 12-year-old girl presented to our service for evaluation of a rapidly enlarging 16 cm breast mass. The mass was removed by local excision and diagnosed to be a giant juvenile fibroadenoma. She had normal breast development over a 1-year postoperative follow-up period. We present this case to illustrate the diagnosis and management of large breast tumors in the adolescent age group, and to emphasize that these tumors are almost always benign and should be treated with breast-conserving surgery. 相似文献
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Naoshige Tochika Atsushi Takano Tadashi Yoshimoto Junichi Tanaka Takeki Sugimoto Michiya Kobayashi Kimio Matsuura Keijiro Araki Yasuhiro Ogawa Toshiaki Moriki 《Surgery today》2001,31(9):806-809
We experienced a very rare case of male intracystic breast carcinoma. A 66-year-old man presented at our hospital because
of a palpable mass in his right breast. The imaging diagnosis was an intracystic carcinoma with hemorrhagic fluid and two
mural nodules. Modified radical mastectomy was performed under general anesthesia. The pathological examination revealed the
intracystic papillary carcinoma with foci of microinvasion. The findings of power Doppler ultrasonography and dynamic magnetic
resonance imaging were very useful for the differential diagnosis of our case.
Received: September 11, 2000 / Accepted: March 6, 2001 相似文献
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Abstract: Cystic breast disease is the most frequent cause of benign breast masses. While breast cysts are common, intracystic lesions, especially intracystic carcinomas, are rare. Furthermore, while breast carcinoma is the most common cancer in women, intracystic breast cancers are rare. Most intracystic breast carcinomas have been described as either papillary or medullary subtypes with infiltrating ductal carcinomas being much less common. The literature has shown their incidence to range from 0.3% to 7% of all breast carcinomas. We describe an interesting case of a premenopausal woman with a large cystic breast carcinoma and review the literature. 相似文献
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Vishal G. Shelat Kelvin Li Shailesh Naik Chee Yung Ng Nandini Rao Jaideepraj Rao Aaryan Koura 《International surgery》2013,98(3):214-218
Schwannomas are rare tumors that arise from Schwann cells in neural sheaths. They are commonly found in the central nervous system, spinal cord, or peripheral nerves of the body. Occasionally, they occur in the gastrointestinal tract, with the stomach being the most common site. However, colorectal and retroperitoneal schwannomas are very rare. Preoperative diagnosis is often difficult and definitive treatment entails surgical excision. We herein present 3 cases of intraabdominal schwannomas. 相似文献
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Abstract: Mammary hamartomas were reported in 0.7% of all benign tumors of the female breast. Histologically breast hamartomas contain lobular breast tissue with various degrees of fibrous, fibrocystic, and adipose tissue. Rare types include muscular (myoid) and cartilage (chondroid) hamartomas. We report a case of muscular hamartoma in a man. A 36-year-old man was admitted to the psychiatric unit with the diagnosis of schizophrenia. The patient complained of a slowly growing mass in his left breast. He denied any discharge from the nipple, but he complained of itching. A 2 cm × 3 cm nontender mass was palpable. There was no evidence of axillary lymphadenopathy. A needle aspiration was nondiagnostic. The excisional biopsy specimen revealed fatty tissue which was edematous and hemorrhagic. Microscopically it showed multiple bundles of muscles organized randomly. Myoid hamartoma was the diagnosis. Mammary hamartoma is considered a female tumor exclusively. Myoid hamartoma has been reported previously in 25 women. We report a myoid hamartoma in a man and, to our knowledge, it is the first and only such case to be reported. 相似文献
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Kalyana C. Nandipati MD Hrishikesh Nerkar MD James Satterfield MD Manasa Velagapudi MD Usha Ruder MD Kae‐Jae Sung MD 《The breast journal》2010,16(5):537-540
Abstract: Sarcomas of the breast constitutes <1% of primary malignant breast tumors. Liposarcoma of the breast represents 3–24% of the primary breast sarcomas. Liposarcoma can arise from pre‐existing benign lesions like fibroadenoma or from lipoid tissue in the breast. There are only few cases of liposarcoma of the breast in young females reported in the literature. Liposarcoma of the breast typically involves women with age after 50 years. In this article, we present a young woman with liposarcoma of the breast. 相似文献