Department of Radiology, St. Marianna University School of Medicine, 2-16-1 Sugao, Miyamae-Ku, Kawasaki, Kanagawa, 216-8511, Japan.
Breast Cancer. 2011 Oct;18(4):319-23. doi: 10.1007/s12282-009-0122-z. Epub 2009 Jun 19.
A case of a fibroadenoma coexisting with an invasive lobular carcinoma of the breast in a 60-year-old female is presented, and its pathological features are correlated with high-resolution magnetic resonance imaging (HR-MRI) and other imaging findings. The patient presented with the chief complaint of having a palpable mass in her right breast for 3 months. Mammography revealed a lobular mass with a micro-lobulated margin, which suggested a malignant nature; however, it included coarse calcifications. Sonographic imaging and HR-MRI findings were compatible with malignant tumor. Cytology was performed, and the results indicated an invasive carcinoma. Breast-conserving surgery was performed as a curative operation. The pathological features revealed a fibroadenoma coexisting with an invasive lobular carcinoma. This case suggests that radiologists should always pay attention to the associated malignant imaging characteristics, such as the shape and border of the mass, whenever a mass demonstrates benign-like calcifications.
现报道一例 60 岁女性乳腺共存纤维腺瘤和浸润性小叶癌病例,其病理特征与高分辨率磁共振成像(HR-MRI)和其他影像学发现相关。患者以右乳可触及肿块 3 个月为主诉就诊。乳腺 X 线摄影显示具有小叶状边缘的小叶状肿块,提示恶性特征;然而,它包含粗钙化。超声影像学和 HR-MRI 结果符合恶性肿瘤。细胞学检查结果提示浸润性癌。作为根治性手术,进行了保乳手术。病理特征显示纤维腺瘤共存浸润性小叶癌。该病例提示放射科医生在看到具有良性样钙化的肿块时,应始终注意与恶性相关的影像学特征,如肿块的形状和边界。