Breast amyloidosis associated with Sjögren syndrome: A diagnostic pitfall in breast pathology.

Breast disease Pub Date : 2023-01-01 DOI:10.3233/BD-230006
Oumeima Khaldi, Montassar Ghalleb, Amani Jallali, Insaf Fenniche, Mehdi Somai, Fatma Daoud, Fatma Boussema, Salma Kammoun, Khadija Hamza, Med Ali Ayadi, Tarek Dhieb
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引用次数: 0

Abstract

Background: Amyloidosis is an uncommon disorder characterized by the extracellular deposition of amorphous and insoluble proteins in an abnormal fibrillary configuration. Mammary amyloidosis is an unusual and easily overlooked diagnosis with an ambivalent presentation that could mimic breast cancer.

Case report: We here report the case of 60-year-old Caucasian woman who presented to our surgical oncology department for clinically and radiologically suspicious breast mass. A fine needle biopsy was irrelevant, so we performed a lumpectomy. Final histology revealed an amyloid deposit and further workup was consistent with nodular cutaneous and breast AL amyloidosis associated with Sjögren's syndrome.

Conclusion: Although rare, an awareness of the clinicopathologic characteristics of this easily overlooked entity is of great importance for breast surgeons.

与斯约格伦综合征相关的乳腺淀粉样变性:乳腺病理诊断中的一个陷阱。
背景:淀粉样变性是一种不常见的疾病,其特征是无定形和不溶性蛋白质在细胞外沉积成异常的纤维状结构。乳腺淀粉样变性是一种不常见且容易被忽视的诊断,其表现不明确,可能与乳腺癌相似:病例报告:我们在此报告了一例 60 岁的白种女性病例,她因临床和影像学上可疑的乳房肿块而到肿瘤外科就诊。细针穿刺活检并不相关,因此我们进行了肿块切除术。最后的组织学检查发现了淀粉样沉积物,进一步检查结果与结节性皮肤和乳腺AL淀粉样变性伴斯约格伦综合征一致:结论:虽然这种病很少见,但了解这种容易被忽视的疾病的临床病理特征对乳腺外科医生来说非常重要。
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来源期刊
Breast disease
Breast disease Medicine-Oncology
CiteScore
1.80
自引率
0.00%
发文量
59
期刊介绍: The recent expansion of work in the field of breast cancer inevitably will hasten discoveries that will have impact on patient outcome. The breadth of this research that spans basic science, clinical medicine, epidemiology, and public policy poses difficulties for investigators. Not only is it necessary to be facile in comprehending ideas from many disciplines, but also important to understand the public implications of these discoveries. Breast Disease publishes review issues devoted to an in-depth analysis of the scientific and public implications of recent research on a specific problem in breast cancer. Thus, the reviews will not only discuss recent discoveries but will also reflect on their impact in breast cancer research or clinical management.
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