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患者女,14岁。以“发现左乳肿块1年,进行性增大4个月”为主诉入院。1年前偶然发现左乳一枣样大小肿物,质韧,边界清,活动度佳,4个月前于月经初潮后肿物迅速增大,无局部红肿热痛,无乳头溢液等,月经周期规律,经量中等。专科检查:双乳不对称,左乳体积较右乳明显增大,双侧乳头基本居同一水平,左乳皮肤张力较高,表面血管怒张,可触及约10 cm×10 cm大小肿物,质韧,活动度可,边界清,无压痛。MRI平扫加动态增强扫描:
Female patient, 14 years old. To “find the left lumps 1 year, progressive increase 4 months ” as the main complaint hospitalization. A year ago, a sample of left-sided milk was found accidentally, with a good quality and toughness. The border was clear and the activity was good. The tumor rapidly increased after 4 months ago with no local swelling, no nipple discharge, Menstrual cycle rules, by the amount of medium. Specialist examination: asymmetric breast, left breast volume increased significantly more than the right milk, bilateral nipples basically Habitat same level, higher left skin milk tension, surface vascular engorgement, palpable about 10 cm × 10 cm size of the tumor, Quality and toughness, activity can be clear boundary, no tenderness. MRI scan plus dynamic contrast-enhanced scan: