Abstract
The literature regarding sclerosing adenosis has been reviewed. The pathological and radiological aspects of this benign breast condition have been emphasized since they influence clinical practice.
Features of 43 patients diagnosed as having sclerosing adenosis have been reported. Cancer was suspected on mammography in 17, and 25 experienced breast pain. Thus, the lesion is important both as a mimic of malignancy and as a cause of mastalgia. The clinical and radiological features allow the condition to be suspected before biopsy, in which circumstance paraffin histology is greatly preferable to frozen section.
Résumé
L'adénose scléreuse a fait l'objet d'une analyse de la littérature. Les aspects histologiques et radiologiques de cette affection bénigne du sein, si importants pour la pratique clinique, sont décrits.
Les dossiers de 43 patientes ayant une adénose scléreuse du sein sont exposés. Un cancer a été suspecté sur l'aspect mammographique chez 17 patientes; 25 patientes se plaignaient de mastalgies, soulignant la fréquence avec laquelle cette lésion peut simuler une maladie maligne ou donner lieu à une symptomatologie douloureuse. Les données cliniques et radiologiques permettent de soupçonner le diagnostic avant de pratiquer la biopsie. La lecture des coupes fixées par la paraffine est préférable à l'examen extemporané.
Resumen
Se revisó la literatura sobre adenosis esclerosante. Los aspectos patológicos y radiológicos de esta entidad mamaria benigna son resaltados, en la medida que influyen sobre la práctica clínica.
Se informan las características de 43 pacientes con el diagnóstico de adenosis esclerosante. Se sospechó la presencia de cáncer en la mamografía en 17 casos, y 25 experimentaron dolor mamario. Esto indica que la lesión es importante tanto como una mímica de neoplasia maligna, así como causa de mastalgia. Las características clínicas y radiológicas permiten sospechar la presencia de esta lesión con anterioridad a la biopsia, para la cual definitivamente se prefiere la histología por cortes de parafina sobre los cortes por congelación.
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Preece, P.E. Sclerosing adenosis. World J. Surg. 13, 721–725 (1989). https://doi.org/10.1007/BF01658421
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DOI: https://doi.org/10.1007/BF01658421