同一腫瘍内に線維腺腫の混在を認めた乳腺管状腺腫の1例

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  • A case of tubular adenoma coexisting with a fibroadenoma of the breast
  • ショウレイ ドウイツ シュヨウ ナイ ニ センイセン シュ ノ コンザイ オ ミトメタ ニュウセン カンジョウセン シュ ノ 1レイ

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A 31-year-old woman developed an enlarging right breast mass. She was diagnosed as having a fibroadenoma on needle biopsy cytology done at another hospital. A movable and elastic mass measuring 80 mm was palpable in the EDB area of the right breast. Mammography revealed a slightly high density mass with unclear, scattered microcalcification in the right breast. Ultrasonography revealed a low echoic mass with a defined border and posterior echo enhancement. Magnetic resonance imaging showed a heterogeneous tumor in the right breast ; given the dynamic curve study results of mainly a crescendo pattern with a partial early wash-out pattern, the existence of tumors with different characters was suspected. Under a diagnosis of fibroadenoma or tubular adenoma, a lumpectomy was performed. On pathology, the coexistence of tubular adenoma and fibroadenoma, without a defined border between them, was confirmed. We report a rare case of tubular adenoma coexisting with fibroadenoma.

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