Vulva Yerleşimli Ektopik Meme Dokusundan Gelişen Primer Meme Kanseri
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Tarih
2020
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info:eu-repo/semantics/openAccess
Özet
Giriş: Bilateral meme dokusu, embriyolojik açıdan ektodermalkökenli olup, inguinal bölge ile aksilla kıvrımının ventrali arasında gelişim gösterir. Ektopik meme dokusu primitif embriyonejenik süt çizgisi boyunca atrofinin oluşmadığı alanlarda, çoğunlukla da aksillada bulunur. İkinci sıklıkta vulvada görülür.Olgu: Yazımızda, sağ vulva labia majusta yer alan ektopikmeme dokusundan gelişen primer meme kanserine sahip 66 yaşında postmenapozal bayan hasta sunulmuştur. Uzun süredirvaginal bölgesinde var olduğunu bildiği kabarıklıkta başlayanve tedavi ile düzelmeyen yara şikayeti ile polikliniğe başvurmuş, sistemik değerlendirmesinde patolojik bulgu saptanmamışve tanısı yapılan cerrahi tedavi sonrasında konulabilmiştir.Sonuç: Ektopik meme dokusu, meme kanseri gelişimi için riskfaktörüdür. Vulvada yerleşimli kitlesel dokularda bu olasılıkher zaman akılda bulundurulmalıdır. Genellikle uzun sürediriyileşmeyen cilt lezyonlarına neden olarak bulgu verir. Literatürde az sayıda olgu sunumu ile yer alması nedeniyle, tedavialgoritması henüz netleşmemiştir. Bu bilgiler ışığında hasta,bireysel olarak değerlendirilmeli ve tedavi planlaması multidisipliner ortamda yapılmalıdır.
Introduction: Bilateral breast tissue is of an embryological ectodermal origin and develops between the inguinal region and the ventral fold. Ectopic breast tissue is found in areas where atrophy does not occur along the primitive embryonic milk line, mostly in the axilla. It is seen in the vulva in the second frequency. Case Report: In this article, a 66-year-old postmenopausal woman with primary breast cancer developing from ectopic breast tissue in the right vulva labia majus is presented. She applied to the outpatient clinic with the complaint of the wound that started in the swelling that she knew existed in the vaginal area for a long time and did not improve with treatment. In her systemic evaluation, no pathological finding was detected and the diagnosis was made after the surgical treatment. Conclusion: Ectopic breast tissue is a risk factor for breast cancer development. This possibility should always be kept in mind in mass tissues located in the vulva. It usually gives signs by causing skin lesions that have not healed for a long time. The treatment algorithm is not clear yet, since it is included in the literature with a small number of case reports. In the light of this information, the patient should be evaluated individually and treatment planning should be done in a multidisciplinary environment.
Introduction: Bilateral breast tissue is of an embryological ectodermal origin and develops between the inguinal region and the ventral fold. Ectopic breast tissue is found in areas where atrophy does not occur along the primitive embryonic milk line, mostly in the axilla. It is seen in the vulva in the second frequency. Case Report: In this article, a 66-year-old postmenopausal woman with primary breast cancer developing from ectopic breast tissue in the right vulva labia majus is presented. She applied to the outpatient clinic with the complaint of the wound that started in the swelling that she knew existed in the vaginal area for a long time and did not improve with treatment. In her systemic evaluation, no pathological finding was detected and the diagnosis was made after the surgical treatment. Conclusion: Ectopic breast tissue is a risk factor for breast cancer development. This possibility should always be kept in mind in mass tissues located in the vulva. It usually gives signs by causing skin lesions that have not healed for a long time. The treatment algorithm is not clear yet, since it is included in the literature with a small number of case reports. In the light of this information, the patient should be evaluated individually and treatment planning should be done in a multidisciplinary environment.
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Zeynep Kamil Tıp Bülteni
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Scopus Q Değeri
Cilt
51
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2
