临床与病理杂志2024,Vol.44Issue(11):1603-1607,5.DOI:10.11817/j.issn.2095-6959.2024.240548
以乳腺炎为表现的包裹性乳头状癌1例
Encapsulated papillary carcinoma presenting as mastitis:A case report
摘要
Abstract
Encapsulated papillary carcinoma is a rare histological subtype of intraductal papillary carcinoma of the breast,accounting for only 0.9%to 2.0%of all breast cancers.It primarily occurs in postmenopausal women and typically presents clinically as breast mass or bloody nipple discharge.Due to its nonspecific presentation,encapsulated papillary carcinoma can be easily confused with benign or malignant breast conditions,often resulting in misdiagnosis or delayed treatment.We report a case of a 50-year-old female patient who presented with symptoms resembling right-sided mastitis.Breast ultrasound suggested inflammatory changes with breast abscess,and initial fine-needle aspiration suggested inflammation.However,the symptoms did not improve with symptomatic treatment.Following surgical excision,pathological diagnosis confirmed encapsulated papillary carcinoma.In postmenopausal women presenting with sudden infection or abscess in a long-standing untreated breast nodule,the possibility of underlying encapsulated papillary carcinoma should be considered.Complete surgical excision and histopathological examination are essential for definitive diagnosis and to improve patient outcomes.关键词
包裹性乳头状癌/乳腺导管内乳头状癌/乳腺炎/乳腺脓肿/绝经女性/乳腺超声Key words
encapsulated papillary carcinoma/intraductal papillary carcinoma of the breast/mastitis/breast abscess/postmenopausal women/breast ultrasound引用本文复制引用
陈棋帅,蒋树云,李浩,刘琴国,郑可欣,马志军..以乳腺炎为表现的包裹性乳头状癌1例[J].临床与病理杂志,2024,44(11):1603-1607,5.基金项目
国家自然科学基金(82060485).This work was supported by the National Natural Foundation of China(82060485). (82060485)