유방에 발생한 에크린 선단공한산종의 세침흡인 세포소견 -관암종으로 오인한 1예 보고- = Fine Needle Aspiration Cytology of Eccrine Acrospiroma of the Breast - Report of a Case Misdiagnosed as Ductal Carcinoma -

다국어 초록 (Multilingual Abstract)

Eccrine acrospiroma is a rare adnexal tumor of the skin. When the clinical presentation is that of a breast lump, diagnosis can be difficult. Also, most of the cytopathologists are not familial with the cytologic features of this tumor and this is responsible for diagnostic pitfalls. We experienced a case of eccrine acrospiroma of the right breast in a 41-year-old female, misdiagnosed by fine needle aspiration cytology (FNAC). FNAC was characterized by tight clusters or sheets of small round cells, polygonal cells, and spindle cells and tubule like structures within clusters. Myoepithelial cells were not noted in the clusters. The diagnosis of eccrine acrospiroma was confirmed by histology.

참고문헌 (Reference)

1 "Pettinato G. An unusual" Am J Clin Pathol 106 : 665-9, 1996

2 "Malignant eccrine acrospiroma of the breast." 34 : 271-3, 1995

3 "Keasby LE. Clear cell hidradenoma of the breast. Cancer 1968" Finck FM 125-35,

4 "In: Cutaneous Neoplasm" JP Lippincott Co 909-, 2001

5 "Hood AF. Pathology of the Skin. In Tumors of Sweat Gland Differentiation" 627-31, 1990

6 "Fine needle aspiration of nodular hidradenoma" 15 : 395-7, 1996

7 "Fine needle aspiration cytology of eccrine acrospiroma." 1083-5, 2001

8 "Clear cell hidradenoma simulating breast carcinoma" Diagn Cytopathol 70-2, 1996

9 "Castleman B. Clear cell myoepithelioma of the skin Report of ten cases. Am J Pathol 1952" 691-9,

10 "Boon ME. Fine-needle cytology of an eccrine spiradenoma of the breast Diagnosis made by a holistic approach. Diagn Cytopathol 1992" 366-8,

11 "Ackerman AB. Neoplasm with Eccrine Differentiation" abe abe (abe abe): 311-50, 1990

12 ". Nodular hidradenoma of the breast Pathol Int 1998" 48 : 907-11, 1998