Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
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Imaging Findings of Soft Fibroma of the Nipple: Two Case Reports

유두에 생긴 연성 섬유종의 영상의학적 소견: 2예 보고

  • Im, Bora (Department of Radiology, Daejin Medical Center Bundang Jesaeng General Hospital) ;
  • Park, Woon-Ju (Department of Radiology, Daejin Medical Center Bundang Jesaeng General Hospital) ;
  • Kim, Sang Wook (Department of General Surgery, Daejin Medical Center Bundang Jesaeng General Hospital) ;
  • Kwon, Kye-Won (Department of Pathology, Daejin Medical Center Bundang Jesaeng General Hospital) ;
  • Han, Eun Mee (Department of Pathology, Daejin Medical Center Bundang Jesaeng General Hospital)
  • 임보라 (분당제생병원 영상의학과) ;
  • 박운주 (분당제생병원 영상의학과) ;
  • 김상욱 (분당제생병원 외과) ;
  • 권계원 (분당제생병원 진단병리과) ;
  • 한은미 (분당제생병원 진단병리과)
  • Received : 2018.01.30
  • Accepted : 2018.05.07
  • Published : 2018.09.01
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Abstract

Soft fibromas are benign skin lesions that primarily occur in the neck, axillae, and groin locations. The occurrence of soft fibroma lesions in the nipple is extremely rare. Herein, we present two cases of soft fibroma of the nipple, which occurred in a 51-year-old woman (Case 1) and a 32-year-old woman (Case 2). The mammographic and ultrasonographic features of each case are described in this report. Mammography revealed an oval-shaped isodense mass in Case 1 and an irregular-shaped isodense mass in Case 2. On ultrasonography, Case 1 showed an oval-shaped hypoechoic mass with increased vascularity, whereas Case 2 presented a microlobulated, irregular-shaped, iso- to hypo-echoic mass with subtly increased vascularity at the stalk. In both cases, surgical excision was performed and pathological examination revealed soft fibroma.

연성 섬유종은 목, 겨드랑이와 생식 기관 주변에 주로 발생하는 양성 피부 질환으로 유두에 생기는 연성 섬유종은 매우 드물다. 저자들은 유두에 생긴 연성 섬유종으로 내원한 51세 여자 환자(Case 1)와 31세 여자 환자(Case 2)의 2예를 경험하였기에 유방 촬영술과 초음파 소견을 보고하고자 한다. 유방 촬영술 상 1예(Case 1)에서는 타원형 등밀도의 종괴로, 1예(Case 2)에서는 불규칙형 등밀도의 종괴로 나타났다. 유방 초음파 검사 상 1예(Case 1)에서는 저에코의 타원형 종괴로 보이며 종괴 내부에 증가된 혈관 분포를 보였고, 1예(Case 2)에서는 미세분엽형 경계의 불규칙형 종괴로 등에코 또는 저에 코를 보이며 줄기 부분에 혈관 분포가 증가된 소견을 보였다. 수술적 절제를 시행한 결과, 두 예 모두 연성 섬유종으로 진단되었다.

Keywords

References

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