Plasma Cell Granuloma of the Axilla: Mimicking an Accessory Breast-A Case Report

漿細胞肉芽腫是一種外表類似腫瘤的良性病灶。目前它的病因不明，發生案例極為罕見。此種病灶多發生在肺部，但也有出現在全身其它部位的案例。根據我們的了解，目前尚未有發生在腋下部位的相關文獻報告，有部份學者認為，外傷和感染是可能的病因。它雖然是屬於良性的病灶，卻具有持續性的局部浸潤能力，和復發的可能性。病患可能會產生發燒、疼痛、體重減輕，或由病灶所在部位所引發的不適症狀。我們可利用組織病理檢查來做出正確的診斷。為了避免過度廣泛的切除手術，所以必需與惡性腫瘤作出鑑別診斷。類固醇和放射線治療，曾經成功地用在不適合接受手術切除的患者，然而完全切除術仍然是目前的最佳選擇。手術切除後，務必密切觀察病灶的部位，以便及早發現復發的跡象。本文所呈現的案例是腋下漿細胞肉芽腫，曾經多院多人檢查為腋下副乳，經由手術切除，並持續追蹤後，目前仍無復發的跡象。

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並列摘要

Plasma cell granuloma is a rare tumor-like benign lesion of uncertain etiology. It can occur at many sites, most commonly in the lung, but lesions involving the axillary subcutameous tissues have not been previously demonstrated to the best of our knowledge. This entity is reactive in nature, although trauma and infection have been described as the possible causes. (superscript 19) Patient may present with or without fever, pain, weight loss, and site-related symptoms. Histopathological studies are helpful to reach precise diagnosis. In order to avoid unnecessary extensive surgery, differential diagnosis from malignancy is mandatory. Steroid treatment (superscript 6) and radiotherapy (superscript 24) have been successfully described in patients with inoperable local diseases, however, complete surgical resection remains the treatment of choice. Persistent local infiltration and recurrent tendency have been reported. (superscript 17) Close observation after resection is very important for early detection of recurrence. We present a case of plasma cell granuloma of the axilla which clinically mimics an accessory breast. The lesion is completely excised, and there is no recurrence after 8 months followup.

並列關鍵字

plasma cell granuloma ； axilla ； accessory breast

國際替代計量

Plasma Cell Granuloma of the Axilla: Mimicking an Accessory Breast-A Case Report

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