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中华乳腺病杂志(电子版) ›› 2022, Vol. 16 ›› Issue (03) : 187 -189. doi: 10.3877/cma.j.issn.1674-0807.2022.03.010

病例报告

乳头腺瘤一例并文献回顾
刘思雨1, 南丁阿比雅思1, 庞达1,()   
  1. 1. 150000 哈尔滨医科大学附属肿瘤医院乳腺外科
  • 收稿日期:2021-09-21 出版日期:2022-06-01
  • 通信作者: 庞达

Nipple adenoma: one case report and literature review

Siyu Liu1, Abiyasi Nanding1, Da Pang1()   

  • Received:2021-09-21 Published:2022-06-01
  • Corresponding author: Da Pang
引用本文:

刘思雨, 南丁阿比雅思, 庞达. 乳头腺瘤一例并文献回顾[J]. 中华乳腺病杂志(电子版), 2022, 16(03): 187-189.

Siyu Liu, Abiyasi Nanding, Da Pang. Nipple adenoma: one case report and literature review[J]. Chinese Journal of Breast Disease(Electronic Edition), 2022, 16(03): 187-189.

乳头腺瘤(nipple adenoma)是起源于乳腺输乳管或输乳窦的良性肿瘤,属于导管内乳头状瘤的一种亚型。其发病率不足乳腺良性肿瘤的1%[1],临床表现常为乳头、乳晕区肿块,伴疼痛、血性或浆液性乳头溢液,并可出现类似于乳腺Paget病的皮肤改变[2],如乳头、乳晕区皮肤破溃、结痂等。镜下病理形态多种多样,易与浸润性癌和导管内癌相混淆[3]。组织病理学检查是当前诊断的金标准[2]。哈尔滨医科大学附属肿瘤医院乳腺外科收治了1例18岁乳头腺瘤患者,现将治疗过程报告如下。

图1 左侧乳头腺瘤患者术前乳房外观
图2 左侧乳头腺瘤患者切除左乳头肿块后的乳房外观
图3 左侧乳头腺瘤患者术后病理图(HE ×400) 注:致密的纤维结缔组织内导管呈腺瘤样、乳头状瘤样增生,部分区域上皮细胞增生活跃
图4 左侧乳头腺瘤患者乳头即刻成形术后外观 注:用可吸收线缝合残余左乳头组织
图5 左侧乳头腺瘤患者术后4个月乳头外观 注:左乳头切口愈合后外观满意,血供良好,无缺血、坏死
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