Abstract
Adenomiyoepitelyoma AME ; başta meme dokusu olmak üzere tükürük bezlerinde, deride ve akciğerlerde de görülebilen, hem epitelyal hem de miyoepitelyal hücrelerin bifazik proliferasyonu ile karakterize oldukça nadir görülen bir tümördür. Bening karaktere sahip olmak ile birlikte yetersiz cerrahi sınır ile rezeke edildiğinde yüksek rekürrens oranlarına sahiptir. Özgeçmişinde herhangi bir özelliği bulunmayan 33 yaşında 12 haftalık gebeliği olan hasta genel cerrahi polikliniğine memede ele gelen kitle şikayeti ile başvurdu. Ultrasonografik US incelemede sol memede BIRADS 4b lezyon saptanan hastaya kor iğne biyopsisi yapıldı. Kor biyopsi sonucunun şüpheli gelmesi üzerine kitle eksize edildi. Nihai patoloji sonucu adenomiyoepitelyoma olarak raporlandı. Postoperatif 12. ayında yapılan kontrollerde hastada herhangi bir lokal nüks saptanmadı
References
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- McLaren BK, Smith J, Schuyler P, Dupont WD, Page DL. Adenomyoepithelioma: clinical, histologic, and immunohistologic evaluation of a series of related lesions. Am J Surg Pathol 2005;29:1294–9. [CrossRef]
- Tavassoli FA. Myoepithelial Lesions of the Breast: Myoepitheliosis, Adenomyoepithelioma, and Myoepithelial Carcinoma. Am J Surg Pathol 1990;15(6):554–68. [CrossRef]
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- Ahmed AA, Heller DS. Malignant adenomyoepithelioma of the breast with malignant proliferation of epithelial and myoepithelial elements: a case report and review of the literature. Arch Pathol Lab Med 2000;124:632–6. [CrossRef]
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- Yuan Z, Qu X, Zhang Z-T, Jiang WG. Lessons From Managing the Breast Malignant Adenomyoepithelioma and the Discussion on Treatment Strategy. World J Oncol 2017;8:126–31. [CrossRef]
Abstract
Adenomyoepithelioma AME ; is a rare tumor usually seen in breast tissue but will also be detected in salivary glands, skin and the lungs which are characterized by biphasic proliferation of epithelial and myoepithelial cells. Although it has a benign nature, it has high recurrence rates when it is resected with an inadequate surgical margin. A previously healthy 33-year-old 12-week pregnant patient admitted to the outpatient clinic with a palpable mass in her left breast. Ultrasonographic US examination revealed a BIRADS 4b lesion in the left breast and a core-needle biopsy was performed. The mass was totally excised due to suspicious histopathological findings. Final pathology was reported as adenomyoepithelioma. In the first year of postoperative follow-up, no local recurrence was detected in the patient
References
- Hamperl H. The myothelia (myoepithelial cells). In: Altmann H-W, Benirschke K, editors. Current Topics in Pathology. Berlin Heidelberg: Springer; 1970. p.161–220.
- Rosen PP. Adenomyoepithelioma of the breast. Hum Pathol 1987;18:1232–7. [CrossRef]
- Tamura G, Monma N, Suzuki Y, Satodate, Abe H. Adenomyoepithelioma (myoepithelioma) of the breast in a male. Hum Pathol 1993;24:678– 81. [CrossRef]
- Moritz AW, Wiedenhoefer JF, Profit AP, Jagirdar J. Breast adenomyoepithelioma and adenomyoepithelioma with carcinoma (malignant adenomyoepithelioma) with associated breast malignancies: A case series emphasizing histologic, radiologic, and clinical correlation. Breast 2016;29:132–9. [CrossRef]
- Howlett DC, Mason CH, Biswas S, Sangle PD, Rubin G, Allan SM. Adenomyoepithelioma of the breast: spectrum of disease with associated imaging and pathology. AJR Am J Roentgenol 2003;180:799–803. [CrossRef]
- McLaren BK, Smith J, Schuyler P, Dupont WD, Page DL. Adenomyoepithelioma: clinical, histologic, and immunohistologic evaluation of a series of related lesions. Am J Surg Pathol 2005;29:1294–9. [CrossRef]
- Tavassoli FA. Myoepithelial Lesions of the Breast: Myoepitheliosis, Adenomyoepithelioma, and Myoepithelial Carcinoma. Am J Surg Pathol 1990;15(6):554–68. [CrossRef]
- Ahmadi N, Negahban S, Aledavood A, Daneshbod K, Daneshbod Y. Malignant adenomyoepithelioma of the breast: a review. Breast 2015;21:291–6. [CrossRef]
- Ahmed AA, Heller DS. Malignant adenomyoepithelioma of the breast with malignant proliferation of epithelial and myoepithelial elements: a case report and review of the literature. Arch Pathol Lab Med 2000;124:632–6. [CrossRef]
- Behranwala KA, Nasiri N, A’Hern R, Gui GP. Clinical presentation and long-term outcome of pure myo epithelial carcinoma of the breast. Eur J Surg Oncol 2004;30:357–61. [CrossRef]
- Yuan Z, Qu X, Zhang Z-T, Jiang WG. Lessons From Managing the Breast Malignant Adenomyoepithelioma and the Discussion on Treatment Strategy. World J Oncol 2017;8:126–31. [CrossRef]
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Case Report |
| Authors | |
| Publication Date | June 1, 2020 |
| Published in Issue | Year 2020Issue: 2 |