PDF(Pubmed)
Abstract：
Nipple adenomas are rare, benign breast lesions that present similarly to breast malignancies, often manifesting with unilateral bloody discharge, a palpable mass, and/or nipple distortion. Imaging techniques have limited specificity in distinguishing nipple adenomas from malignancy; therefore, clinicians must rely on histologic and immunohistochemistry evaluation. Here, we highlight the case of a 69-year-old woman with bilateral nipple adenomas presenting as an enlarging nipple mass with chronic nipple discharge. Complete lesion resection with clear margins stands as the primary route of management and complete avoidance of re-occurrence. However, partial excision with nipple preservation has been reported to be successful in selected cases.
摘要：
乳头腺瘤是罕见的，与乳腺恶性肿瘤相似的良性乳腺病变，通常表现为单方面的血腥放电，明显的肿块,和/或乳头变形。成像技术在区分乳头腺瘤和恶性肿瘤方面的特异性有限；因此，临床医生必须依靠组织学和免疫组织化学评估。这里,我们重点介绍了一例69岁女性患者的双侧乳头腺瘤，表现为乳头肿块增大并伴有慢性乳头溢液。具有清晰边缘的完整病灶切除是主要的治疗途径，可以完全避免复发。然而,据报道，在某些情况下，保留乳头的部分切除术是成功的。
