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中华乳腺病杂志(电子版) ›› 2023, Vol. 17 ›› Issue (01) : 50 -52. doi: 10.3877/cma.j.issn.1674-0807.2023.01.011

所属专题: 经典病例

病例报告

乳房结节性筋膜炎误诊为乳腺癌一例
李日涵1, 郭扬1, 金锋1, 韩思源1,()   
  1. 1. 110001 沈阳,中国医科大学附属第一医院乳腺外科
  • 收稿日期:2021-07-07 出版日期:2023-02-01
  • 通信作者: 韩思源

Breast nodular fasciitis misdiagnosed as breast cancer: one case report

Rihan Li1, Yang Guo1, Feng Jin1   

  • Received:2021-07-07 Published:2023-02-01
引用本文:

李日涵, 郭扬, 金锋, 韩思源. 乳房结节性筋膜炎误诊为乳腺癌一例[J]. 中华乳腺病杂志(电子版), 2023, 17(01): 50-52.

Rihan Li, Yang Guo, Feng Jin. Breast nodular fasciitis misdiagnosed as breast cancer: one case report[J]. Chinese Journal of Breast Disease(Electronic Edition), 2023, 17(01): 50-52.

结节性筋膜炎是一种起源于成肌纤维细胞的自愈性疾病,多发于四肢、躯干及颈部[1,2],而发生于乳房的结节性筋膜炎(breast nodular fasciitis,乳房结节性筋膜炎)十分罕见。由于肿瘤生长迅速,且其影像学表现与乳腺癌病灶具有相似性,发生于乳房区域的结节性筋膜炎极易被误诊为乳腺恶性肿瘤。笔者诊治了一例乳腺尾叶区域的结节性筋膜炎患者,现将其病例资料报告如下。

关键词: 乳房, 筋膜炎
图1 乳房结节性筋膜炎患者术后标本病理图(HE ×200)注:密集排列的梭形细胞,其间可见炎症细胞浸润,边缘有部分脂肪细胞
图2 乳房结节性筋膜炎患者的免疫组织化学染色图(SP ×200) a图所示vimentin阳性表达;b图所示SMA阳性表达;c图所示CD34阴性表达;d图所示S-100阴性表达
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