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Tubular Adenoma of the Breast: A Case Report

机译:乳腺管状腺瘤:一例报告

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Tubular adenomas, also called “pure adenomas”, are uncommon benign lesions of the breast which is characterized histologically by a circumscribed mass consisting of prominent lobular proliferation and closely packed small ducts with minimal supporting stroma [1] [2]. These uniformly sized ducts are lined by single layers of epithelium and myoepithelium. They mainly appear in young women, rarely occurring in the elderly?[1]?[3]-[5]. Tubular adenoma must be differentiated from other benign lesions (fibroadenoma) and from malignant breast cancer (tubular carcinoma). Preoperative diagnosis is often difficult, but the histologic diagnosis of tubular adenoma would be an acceptable diagnosis after needle core biopsy. Both radiologic and cytohistologic examinations performed before surgery may be not diagnostic and surgical excision is necessary in order to reach a precise diagnosis and a definitive treatment. We report a case of tubular adenoma of the breast in a 62-year-old woman preoperatively diagnosed as a breast tubular adenoma by Ultrasuond-guided core biopsy.
机译:管状腺瘤,也称为“纯腺瘤”,是罕见的乳腺良性病变,其组织学特征是外切肿块,由明显的小叶增生和紧密堆积的小导管组成,具有最小的支持性基质[1] [2]。这些大小均一的导管衬有单层上皮和肌上皮。它们主要出现在年轻女性中,很少发生在老年人中?[1]?[3]-[5]。管状腺瘤必须与其他良性病变(纤维腺瘤)和恶性乳腺癌(肾小管癌)区分开。术前诊断通常很困难,但是在进行针芯活检后,管状腺瘤的组织学诊断是可以接受的诊断。手术前进行的放射学检查和细胞组织学检查均可能无法诊断,必须进行手术切除才能达到精确的诊断和确定的治疗。我们报告了一例62岁的女性在术前经Ultrasuond引导的穿刺活检诊断为乳腺管状腺瘤的乳腺管状腺瘤。

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