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中华乳腺病杂志(电子版) ›› 2023, Vol. 17 ›› Issue (06) : 375 -377. doi: 10.3877/cma.j.issn.1674-0807.2023.06.010

病例报告

乳腺孤立性纤维性肿瘤一例
杨小菁, 姜瑞瑞, 石玉香, 王静静, 李长天()   
  1. 730000 兰州,甘肃中医药大学基础医学院
    730000 兰州,兰州大学第一医院病理科
  • 收稿日期:2022-08-30 出版日期:2023-12-01
  • 通信作者: 李长天

Solitary fibrous tumor of the breast: one case report

Xiaojing Yang, Ruirui Jiang, Yuxiang Shi   

  • Received:2022-08-30 Published:2023-12-01
引用本文:

杨小菁, 姜瑞瑞, 石玉香, 王静静, 李长天. 乳腺孤立性纤维性肿瘤一例[J]. 中华乳腺病杂志(电子版), 2023, 17(06): 375-377.

Xiaojing Yang, Ruirui Jiang, Yuxiang Shi. Solitary fibrous tumor of the breast: one case report[J]. Chinese Journal of Breast Disease(Electronic Edition), 2023, 17(06): 375-377.

孤立性纤维性肿瘤(solitary fibrous tumor,SFT)是一种罕见的间叶源性肿瘤,可发生于身体任何部位[1],通常发生于胸膜[2]。实质器官中很少出现SFT[3],发生在乳腺的SFT更为罕见。SFT分为良性及恶性,78%~88%的SFT为良性,12%~22%为恶性[4]。SFT无特异性临床及影像学表现,容易漏诊。笔者报道了1例乳腺SFT的病例资料,结合文献复习,探讨其诊断和治疗,以期提高临床医师对乳腺SFT的认识。

图1 乳腺孤立性纤维性肿瘤的X线图注:外上象限可见高密度影,边界尚清;箭头所示为乳腺孤立性纤维性肿瘤
图2 乳腺孤立性纤维性肿瘤组织病理图 a图所示肿瘤细胞呈梭形、束状排列生长(HE ×100);b图所示肿瘤细胞呈梭形,其间可见乳腺小叶组织(HE ×200)
图3 乳腺孤立性纤维性肿瘤的免疫组织化学图(SP ×200) a图所示CD34阳性;b图所示CD99阳性
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