[Bilateral spontaneous pseudo-tumoral cytosteatonecrosis of the breast. Apropos of 2 cases in men].
Two uncommon cases of bilateral breast ischaemia in men are reported. Only one similar case has been published so far. Women, after pregnancy and delivery may also have fat necrosis of the breast, but it is also very unusual. Clinical symptoms are serious, and like tumours. The histological diagnosis is difficult to distinguishable from tissue changes due to self injected paraffin. However in those cases the X ray clearly shows pathognomonic signs of a paraffinoma. The physiopathology is still unclear. In our two cases we did not find any specific etiology. The main contributing factors are likely to be gynaecomastia and adipomastia complicated by lipo-glandular lysis caused by deep glandular ischemia.
Wiel Masson
D
D
Service de Gynécologie-Obstétrique, Hôpital Boucicaut, Paris.
Taurelle
R
R
Schaison
G
G
Tristan
H
H
Wilde
F
F
D001940:Breast / Q000098:blood supply; D001941:Breast Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology*; D005218:Fat Necrosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology*; D006801:Humans; D007511:Ischemia / Q000150:complications; D008297:Male; D008875:Middle Aged; D009336:Necrosis / Q000473:pathology*; D011859:Radiography
La cytostéatonécrose mammaire bilatérale spontanée pseudo-tumorale. A propos de deux cas chez l'homme.