关键词: Breast oil cyst breast cyst case report giant oil cyst ruptured

来  源:   DOI:10.21037/acr-22-46   PDF(Pubmed)

Abstract:
UNASSIGNED: Fat necrosis is a common sequelae of breast trauma. Its many presentations have been described in the literature. Oil cyst is one of the less common presentations of fat necrosis. Giant oil cyst is rare and may take many years to mature in an unstable environment of the women\'s breast. To our best knowledge, rupture of a giant oil cyst has never been reported. Yet, it should be included on the list of differential diagnoses along with hematoma, infection, or neoplasm. When a patient presents with an expanding breast lump, clinicians should be aware of the potential for oil cyst rupture and its features.
UNASSIGNED: A 51-year-old woman presented to a breast clinic with concern of an expanding painless left breast lump for the last 4 months. The lump first appeared 12 years ago shortly after a car accident and was stable for many years. The initial left breast ultrasound was inconclusive, but diagnostic mammogram revealed a giant ruptured calcified oil cyst. Due to the availability of prior diagnostic images, we were able to retrospectively follow the unique sequelae of fat necrosis from the development of giant oil cyst shortly after the breast trauma and up to the final outcome of ruptured calcified oil cyst.
UNASSIGNED: Trauma to a woman\'s breast can lead to the formation of a large oil cyst which can remain present for years, peripherally calcify, and is susceptible to rupture. Clinicians should be aware of this potential complication when presented with the case of expanding breast lump. Diagnostic mammogram is a study of choice and demonstrates benign pathognomonic features of an oil cyst.
摘要:
脂肪坏死是乳房外伤的常见后遗症。文献中已经描述了它的许多介绍。油囊肿是脂肪坏死的少见表现之一。巨大油囊肿是罕见的,在女性乳房不稳定的环境中可能需要很多年才能成熟。据我们所知,从未报道过巨大的油囊肿破裂。然而,它应该与血肿一起被列入鉴别诊断清单,感染,或者肿瘤。当病人出现乳房肿块时,临床医生应该意识到油囊肿破裂的可能性及其特征。
一名51岁的妇女到一家乳腺诊所就诊,担心在过去4个月中出现无痛的左乳房肿块。肿块首次出现在12年前的一场车祸后不久,并稳定了多年。最初的左乳房超声没有定论,但是诊断性乳房X光检查显示有一个巨大的钙化油囊肿破裂。由于先前诊断图像的可用性,我们能够回顾性地追踪从乳腺创伤后不久巨大油囊肿发展到最终钙化油囊肿破裂的脂肪坏死的独特后遗症。
女性乳房的创伤会导致形成一个大的油囊肿,这个囊肿可以持续数年,外周钙化,并且容易破裂。当出现乳房肿块扩大的情况时,临床医生应该意识到这种潜在的并发症。诊断乳房X线照片是一种选择的研究,可以证明油囊肿的良性病理特征。
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