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病人,女,25岁。因左侧乳头皮肤破损伴发现肿块半年入院。体格检查:系统检查未见异常,左侧乳头无凹陷,皮肤略隆起,可扪及0.6 cm×0.5 cm大小肿块,突出皮面约0.1 cm,表面粗糙,边界清楚,质硬,无压痛,无破溃、渗液,双侧锁骨上下、腋窝均未扪及肿大淋巴结。乳腺彩超检查提示:左乳乳头增大,呈减弱回声,见不规则小片状无回声区,乳头内血流信号丰富。入院后行包括肿瘤在内的乳头组织的楔形切除。术后病理检查提示左乳头腺瘤,肿瘤位于真皮内,腺体腔面由高柱状嗜酸粒细胞组成,呈腺
Patient, female, 25 years old. Due to the left nipple skin lesions were found with six months admitted to the hospital. Physical examination: no abnormalities in the system, the left nipple without depression, the skin slightly uplift, palpable and 0.6 cm × 0.5 cm size lumps, prominent leather about 0.1 cm, the surface roughness, clear boundaries, hard, no tenderness, no Rupture, exudate, bilateral supraclavicular, axillary palpable enlarged lymph nodes. Breast ultrasound examination Tip: left nipple increased, was weakened echo, see the irregular small echo-free area, abundant nipple flow signal. After admission, wedge resection of the papillary tissue including the tumor was performed. Postoperative pathological examination prompted left papillary adenoma, the tumor located in the dermis, gland cavity surface composed of high columnar eosinophils, was gland