male breast

男性乳房
  • 文章类型: Case Reports
    男性的乳腺脓肿是一种罕见的疾病,占所有记录的乳腺疾病的1%-3%。具有某些危险因素的男性可能会发展为乳房脓肿。超声检查,乳房X光,报告将重点介绍该病例的病理特征。一名51岁的病态肥胖的沙特男性,是一名160岁的吸烟者,他被送到我们的外科诊所,抱怨很久以前就出现了右乳房肿块,并且大小正在变化。直到出现前5天该肿块是无痛的。在体检时,在10-12点感觉到一个坚固的3×4厘米的非移动质量,距离乳头1厘米。使用细针穿刺和培养进行双侧X射线乳房X线照片和超声检查。右乳房的乳房X线照片显示出界限清楚的乳晕下肿块,密度相等,它还与上覆皮肤增厚和相对的乳房实质水肿有关。细针抽吸大致显示黄绿色浑浊,然后是浑浊的血液。厌氧培养结果显示为革兰氏阳性球菌,FinegoldiaMagna.然后指示患者相应地服用抗生素并在1周后返回。抗生素后再次进行细针抽吸和培养,大致显示2-3cc脓液,培养物中无任何生长。男性乳房疾病通常是良性的,男性乳房发育症是最普遍的,恶性肿瘤是最严重的,尽管它很少。乳腺脓肿是一种具有挑战性的临床疾病,放射科医师在这些病变的评估和随访中起着关键作用。
    Breast abscess in males is a rare condition, which accounts for 1%-3% of all documented breast diseases. Males with certain risk factors may develop a breast abscess. The ultrasonographic, mammographic, and pathological characteristics of this case will be highlighted in the report. A 51-year-old morbidly obese Saudi male who is a 160-pack-years smoker presented to our surgical clinic complaining of a right breast mass that presented a long time ago and was changing in size. The mass was painless until 5 days prior to presentation. On physical examination, a firm nonmobile 3 × 4 cm mass was felt at 10-12-o\'clock, 1 cm away from the nipple. A bilateral X-ray mammogram and ultrasound were performed with fine needle aspiration and culture. The mammogram of the right breast showed a well-circumscribed subareolar mass with equal density, and it was also associated with overlying skin thickening and relative breast parenchymal edema. The fine needle aspiration grossly showed yellowish-green turbid content followed by turbid blood. The anaerobic culture results showed the gram-positive cocci, Finegoldia Magna. The patient was then instructed to take an antibiotic accordingly and return after 1 week. Fine needle aspiration and culture were performed again after antibiotics and grossly showed 2-3 cc of pus without any growth in culture. Male breast disorders are typically benign, with gynecomastia being the most prevalent, and malignancy being the most serious despite its rarity. Breast abscesses are a challenging clinical condition, and radiologists have a pivotal role in evaluation and follow-up of these lesions.
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  • 文章类型: Case Reports
    一名17岁的男性,患有胸部畸形和左乳房增大,接受了男性乳房发育症手术。组织学检查发现乳腺纤维间质伴导管增生,有假血管瘤性间质增生的特征。术后随访未见并发症,但8个月后,患者出现轻度复发,乳头-乳晕复合体增大.尽管建议用于继发性腺体切除术,患者拒绝进一步手术.
    A 17-year-old male with chest malformation and left breast enlargement underwent surgery for gynecomastia. Histological examination revealed mammary fibrous stroma with ductal hyperplasia and features of pseudoangiomatous stromal hyperplasia. Postoperative follow-up showed no complications, but 8 months later, the patient experienced a mild recurrence with enlargement of the nipple-areolar complex. Although recommended for secondary glandular resection, the patient declined further surgery.
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  • 文章类型: Journal Article
    伯基特淋巴瘤(BL)是一种低分化,B细胞非霍奇金淋巴瘤的侵袭性形式。这种疾病的临床表现多种多样,可能是淋巴结,结外,或者两者兼而有之。乳房的BL,主要或次要,双侧乳房受累,极为罕见。在这里,我们介绍了一例27岁男性的BL病例,双侧乳腺异常受累。
    Burkitt lymphoma (BL) is a poorly differentiated, aggressive form of B-cell non-Hodgkin\'s lymphoma. The clinical presentation of this disease is varied and may be nodal, extranodal, or both. BL of the breast, either primary or secondary, with bilateral breast involvement, is extremely rare. Herein, we present a case of BL in a 27-year-old male with unusual bilateral breast involvement.
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  • 文章类型: Case Reports
    原发性乳腺淋巴瘤(PBL)是一种非常罕见的非霍奇金淋巴瘤(NHL)。乳腺中没有先前确定的淋巴瘤性病变的原发性T细胞淋巴瘤是这种恶性肿瘤的更罕见形式。
    一名60岁白种人的乳腺肿块活检显示,其形态学免疫表型特征为ALK阳性(AKT+),间变性大细胞淋巴瘤.固定的荧光原位杂交(FISH)分析,该病变的石蜡包埋组织在我们机构进行IRF4/DUSP22基因重排.没有检测到重排。患者出现以下基因的突变;BCOR_p。Q600X,DNMT3A_p。F609fs,NOTCH1_p.P2320fs,和IDH2_p。R140Q.然而,病人的会诊很复杂,因为他在当地医院被诊断出患有乳腺癌,并来到我们的机构接受进一步会诊。通过免疫组织化学和FISH证实了组织学发现。计算机断层扫描和正电子发射断层扫描没有发现身体其他部位的结节,这使得患者的分期得以完成。然而,尽管该患者先前曾接受过CCOP化疗方案(即,环磷酰胺,长春新碱,醋酸泼尼松龙)他没有及时缓解,六个月后复发,四个月后他的病情急剧恶化,导致他在不到一个月的时间内死亡。
    这份男性患者的报告描述了一例罕见的乳腺T细胞淋巴瘤,女性患者的发病率更高。该肿瘤组织学的鉴别诊断显示,突变更常见于淋巴母细胞淋巴瘤或白血病。这种罕见的恶性肿瘤和相关突变导致该患者在治疗期间死亡。
    UNASSIGNED: Primary breast lymphoma (PBL) is a very rare form of non-Hodgkin\'s lymphoma (NHL). A primary T-cell lymphoma in the breast with no previously identified lymphomatous lesions is an even rarer form of this malignancy.
    UNASSIGNED: A biopsy of a breast mass in a 60-year-old Caucasian man showed a morphologic-immunophenotypic profile with features characteristic of an ALK-positive (AKT+), anaplastic large cell lymphoma. Fluorescence in situ hybridization (FISH) analysis of fixed, paraffin-embedded tissue of this lesion was performed at our institution for IRF4/DUSP22 gene rearrangement. No rearrangement was detected. The patient presented with mutations in the following genes; BCOR_p.Q600X, DNMT3A_p.F609fs, NOTCH1_p.P2320fs, and IDH2_p.R140Q. However, the patient\'s consultation was complicated by the fact that he had been diagnosed with breast cancer at a local hospital and had come to our institution for further consultation. The histology findings were confirmed by immunohistochemistry and FISH. Computed tomography and positron emission tomography did not reveal nodules elsewhere in the body, which allowed the staging of the patient to be completed. However, although the patient had previously received the chemotherapy CCOP regimen (ie, cyclophosphamide, vincristine, prednisolone acetate) he did not go into remission in a timely manner and relapsed after six months, followed by a drastic deterioration in his condition after four months, resulting in his death in less than one month.
    UNASSIGNED: This report of a male patient describes a case of a rare T-cell lymphoma of the breast that occurs considerably more frequently in female patients. The differential diagnosis of the histology of this tumor showed mutations that occur more often in lymphoblastic lymphoma or leukemia. This rare malignancy and associated mutations led to the death of this patient during treatment.
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  • 文章类型: Journal Article
    男性患者的乳腺成像是一个有争议的话题,因为与男性乳腺癌相比,男性乳房发育症的患病率很高。全球,尽管男性乳腺癌的发病率较低,但男性接受更多的乳腺成像。男性乳房发育是一种良性疾病,但是它引起的焦虑和不必要的医疗费用仍然很高。
    根据皇家放射学院指南,我们分两个周期进行了一项回顾性研究,以确定男性患者的检查中是否应包括乳房X线照相术或超声检查,这些男性患者因医生认为是良性的肿块而被转诊到乳房护理病房.
    临床诊断与影像学检查结果100%一致。
    在这种情况下,如果在临床评估中发现可能的男性乳房发育症和良性疾病,则无需进行人群成像。标准化的患者评估方法可以改善护理并确保准确的评估。
    UNASSIGNED: Breast imaging for male patients is a controversial topic due to the high prevalence of gynecomastia compared to male breast cancer. Worldwide, men are undergoing more breast imaging despite the low incidence of male breast cancer. Gynecomastia is a benign condition, but the anxiety it causes and unnecessary medical costs are still high.
    UNASSIGNED: In accordance with Royal College of Radiology guidelines, a retrospective study was performed in two cycles to determine if mammography or ultrasound should be included in the workup of male patients who were referred to a breast care unit for a lump that was deemed benign by doctors.
    UNASSIGNED: There was 100% concordance between clinical diagnosis and imaging findings.
    UNASSIGNED: In this population imaging was not necessary in cases of probable gynecomastia and benign conditions found during a clinical assessment. Standardised patient assessment methods can improve care and ensure accurate evaluation.
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  • 文章类型: Case Reports
    这项研究描述了一例罕见的男性肉芽肿性小叶性乳腺炎(GLM),在同侧不同部位复发。一名48岁男性患者,既往无乳腺相关疾病史,体格检查显示右乳房有肿块。超声检查显示右侧乳房有囊肿和感染。实验室分析未见明显异常。芯针活检显示GLM。右侧病灶切开引流,症状在几周内缓解。在这一初步陈述后的两年里,患者报告饮酒后,右乳肿块再次出现在不同位置。相关检查和芯针活检再次提示右乳GLM。患者拒绝激素治疗,随后失去随访。在审查了这个案子之后,这个病人的病程,以及男性乳房发育症和GLM之间的联系,伴随着同侧复发,正在调查中。
    This study describes a rare case of male granulomatous lobular mastitis (GLM) with recurrence in different sites on the ipsilateral side. A 48-year-old male patient presented with no previous history of breast-related disease, and physical examination suggested a mass in the right breast. Ultrasonography revealed a cyst and infection in the right breast. No obvious abnormality was found in laboratory analysis, and a core needle biopsy revealed GLM. Incision and drainage were applied to the right lesion, and symptoms resolved within a few weeks. At 2 years following this initial presentation, the patient reported that the right breast mass reappeared in different locations after the consumption of alcohol. Relevant examination and a core needle biopsy again suggested GLM of the right breast. The patient declined hormone therapy and was subsequently lost to follow-up. After reviewing this case, the course of the disease in this patient, and the connection between gynecomastia and GLM, along with ipsilateral recurrence, are under investigation.
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  • 文章类型: Case Reports
    肉芽肿性乳腺炎(GM)是一种罕见的疾病,尤其是在男性中。在这里,我们介绍了一例在一名63岁男性患者中诊断为GM的病例,该患者在3个月的观察期间显示肿瘤大小减小.
    Granulomatous mastitis (GM) is a rare disease, particularly among men. Herein, we present a case of GM diagnosed in a 63-year-old male patient who showed reduction in the tumor size during 3 months of observation.
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  • 文章类型: Case Reports
    乳腺外肿瘤的乳腺转移是一种罕见的疾病,约占所有乳腺恶性肿瘤的1.2%-2%。黑色素瘤,肺癌,妇科,和血液癌症可以转移到乳房。男性乳腺转移极为罕见,据我们所知,目前尚无男性乳腺皮肤鳞状细胞癌转移的证据.我们描述了一例81岁的男子,他引起了我们的注意,因为左乳的上外侧有明显的固体肿块,最终组织学诊断为非角膜上皮鳞状细胞癌的乳腺转移。
    Breast metastasis from extra-mammary neoplasm is a rare condition, accounting for approximately 1.2%-2% of all breast malignancies. Melanoma, lung cancer, gynecological, and hematological cancers can metastasis to the breast. Male breast metastasis is extremely rare and, no evidence of metastasis from cutaneous squamous cell carcinoma in a male breast have been reported to our knowledge. We describe a case of an 81-year-old man who came to our attention for a palpable solid mass in the upper-outer aspect of the left breast with the final histological diagnosis of breast metastasis from non-keratoblastic cutaneous squamous cell carcinoma.
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  • 文章类型: Case Reports
    未经证实:男性乳腺纤维腺瘤是一种很少诊断的病变,通常与男性乳房发育症和摄入改变性激素水平的药物同时发生。在这里,我们报道了第一例男性乳腺纤维腺瘤,表现为甲状腺髓样癌。此外,我们回顾了目前男性乳腺纤维腺瘤的治疗策略.
    未经证实:一名25岁的男性患者因甲状腺髓样癌(MTC)就诊于我们的外科单元。体格检查发现他的左乳房有一个未被注意的肿块。我们推迟了计划的甲状腺手术,以确定乳腺肿块是否与MTC转移有关。我们对切除的乳腺肿块进行了病理检查,并确认了纤维腺瘤的诊断。在确认乳腺肿块的良性性质后,患者接受了甲状腺全切除术和选择性颈部清扫术治疗MTC.
    UNASSIGNED:根据临床表现和组织病理学结果诊断男性乳腺纤维腺瘤。男性乳腺纤维腺瘤是一种很少诊断的病变:通常与男性乳房发育和血清性激素水平改变有关。没有这些同意的情况下,这个案子的陈述更加罕见,正如我们的案例所揭示的。对于怀疑患有MTC的男性乳腺纤维腺瘤的治疗应包括延迟甲状腺手术以排除恶性肿瘤和转移的存在。
    UNASSIGNED:该发现表明,即使没有这些并发症,也可以将纤维腺瘤视为男性乳腺的鉴别诊断。男性乳腺纤维腺瘤和MTC的及时诊断和有序治疗有助于改善患者预后。
    UNASSIGNED: Fibroadenoma of the male breast is a rarely diagnosed lesion that often occurs concurrently with gynecomastia and the intake of medications that alter sex hormone levels. Herein, we report the first case of fibroadenoma of the male breast, presenting with medullary thyroid cancer. In addition, we reviewed the current management strategies for fibroadenoma of the male breast in the literature.
    UNASSIGNED: A 25-year-old male patient presented to our surgical unit with medullary thyroid cancer (MTC). The physical examination revealed an unnoticed lump in his left breast. We delayed the planned thyroid surgery to determine whether the breast mass was associated with metastasis from MTC. We performed pathological tests from excised breast mass and confirmed the diagnosis of fibroadenoma. After confirming the benign nature of the breast mass, the patient underwent total thyroidectomy with selective neck dissection for MTC.
    UNASSIGNED: Fibroadenoma of the male breast was diagnosed based on clinical presentation and histopathological findings. Fibroadenoma of the male breast is a rarely diagnosed lesion: and is often associated with gynecomastia and altered serum sex hormone level. The presentation of this case without those concurrences is even rarer, as revealed in our case. The management for suspected fibroadenoma of the male breast presented with MTC should include delaying the thyroid surgery to rule out the presence of malignancy and metastasis.
    UNASSIGNED: The finding indicates that fibroadenoma can be considered a differential diagnosis in the male breast even in the absence of those concurrences. The timely diagnosis and orderly management of fibroadenoma of the male breast and MTC could help to improve the patient outcome.
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  • 文章类型: Case Reports
    男性乳腺病变相对较少见。男性乳腺中最常见的恶性病变是导管腺癌;良性病变是男性乳房发育症,纤维囊性疾病,乳腺内淋巴结,纤维腺瘤,脂肪瘤和表皮包涵囊肿(EIC),分别[5,6]。迄今为止,文献中只有少数男性乳腺EIC病例[3,5,6]。在这种情况下,我们的目的是提出一个新的EIC病例,男性乳房的放射学和病理学特征。它具有良性的超声和磁共振成像结果,但在扩散加权成像上也具有扩散限制的恶性成像结果。
    Male breast lesions are relatively less common. The most encountered malignant lesion in the male breast is ductal adenocarcinoma; and benign lesions are gynecomastia, fibrocystic disease, intramammary lymph node, fibroadenoma, lipoma and epidermal inclusion cyst (EIC), respectively [5,6]. To date, there had been published only a few cases of EIC of the male breast in literature [3,5,6]. In this case, we aimed to present a new case of EIC with its clinical, radiological and pathological characteristics in the male breast. It had benign sonographic and magnetic resonance imaging findings but had also malignant imaging findings with diffusion restriction on diffusion-weighted imaging.
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