Spontaneous Infarction of Breast Fibroadenoma in a Young Non-Pregnant Woman

纖維腺瘤合併腫瘤中央壞死現象於年輕非懷孕女性

郭彥良(Yen-Liang Kuo) ； 謝宗保(Chung-Baa Hsieh) ； 韓鴻志(Horng-Jyh Harn) ； 俞志誠(Jyh-Cherng Yu) ； 陳正榮(Chung-Jueng Chen) ； 劉耀基(Yao-Chi Liu)

《Journal of Medical Sciences》 21卷2期 (2001/04) Pp. 97-100

摘要

纖維腺瘤是常見的乳房良性腫瘤，鮮少有伴隨腫瘤中央壞死現象。回顧文獻，僅有少數病例發生於懷孕或哺乳期之女性。我們報告一位年輕非懷孕女性，其臨床表現及術前診斷結果都高度懷疑為惡性腫瘤，所取下之手術標本並發現有中央壞死現象，但冷凍切片證實為纖維腺瘤，而僅需切除腫瘤而保留乳房。臨床表現及目前的診斷工具固然有其相當之可靠性，以此病例，臨床表現極容易誤認為惡性腫瘤，也提醒外科醫師實施乳房根除性切除手術前先經病理診斷證實是必要的。

關鍵字

良性乳房腫瘤 ； 纖維腺瘤 ； 壞死

並列摘要

Infarctions of breast fibroadenoma are rare, most reported cases occurred in women during pregnancy, lactation, postmenopause or following fine needle aspiration. We report a case of 35year old non-pregnant women, no previous needle biopsy and presented a giant, rapid-grow, spontaneous infracted breast tumor. The chief complaint was a rapidly enlarged, non-painful lump in her left breast in a six-month period. Malignant phylloid tumor was suspected on palpation examination and breast ultrasonography. Characteristics of history, physical examinations and radiological examination would mislead this kind of disease to malignant breast tumor. The pre-operation frozen sections is good guideline for surgical treatment.

並列關鍵字

benign breast tumor ； fibroadenoma ； infarction