单侧全乳巨纤维腺瘤误诊为巨乳一例

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.     

乳晕切口巨乳缩小整形术

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。     

乳晕切口巨乳缩小整形术

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。     

改良Mckissock法巨乳缩小术

目的:探讨重度乳房肥大下垂的理想术式。方法:应用改进的Mckissock术式行乳房缩小术。结果:17例(32只)重度乳房肥大下垂术后外观挺拔,无乳头乳晕坏死发生和其他并发症。结论:改进的Mckissock法乳房缩小整形术手术方法简便,术后乳房外观良好,并发症少,值得推广。     

罕见巨乳缩小术一例

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…     

小切口重度巨乳缩小术的临床应用

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。     

巨乳缩小术常见手术方法的选择

目的:比较巨乳缩小术常用的临床手术方法,探讨各自的适应证。方法:对15例巨乳症患者行手术治疗,其中垂直双蒂法7例,双环法8例。观察术后乳头乳晕血运及乳房外形。结果:所有患者全部恢复良好,无乳头乳晕坏死,乳房外形均满意。结论:垂直双蒂法较适用于中重度巨乳症,双环法较适用于轻中度巨乳症。     

巨乳缩小成形术的切口设计

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。     

乳晕环状切口治疗垂乳及巨乳39例

目的 :探讨乳晕环状切口垂乳上提巨乳缩小术的疗效及安全性。方法 :以乳头为中心的双同心圆切口 ,去除表皮同时放射状楔形切除乳腺组织 ,最后环形缩拢缝合。结果 :共为 3 9例 78只乳房轻、中度巨乳及垂乳施行手术 ,乳头、乳晕无坏死且功能良好 ,切口瘢痕不明显 ,形态满意。结论 :本术式设计简单 ,易于掌握。对轻、中度巨乳及垂乳效果满意。     

Breast Hamartoma: a Case Report

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.     

Metastatic Breast Tumor Arising from Synovial Sarcoma: Report of a Case

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.     

A Case of a Bilateral Inflammatory Breast Cancer: A Case Report

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).     

Blue Lymphangitis of the Breast after Breast Cancer: Case Report

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.     

A Giant Juvenile Fibroadenoma in a 12-Year-Old Girl: A Case for Breast Conservation

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.     

Intracystic Carcinoma of the Male Breast: Report of a Case

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     

Intracystic Breast Carcinoma with Giant Axillary Metastasis: A Case Report

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.     

Abdominal Schwannomas: Case Report With Literature Review

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.     

Hamartoma of the Breast in a Man: First Case Report

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.     

Pleomorphic Liposarcoma of the Breast Mimicking Breast Abscess in a 19‐Year‐Old Postpartum Female: a Case Report and Review of the Literature

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.