Alanis Lourdes, Roth Robyn, Lerman Nati, Barroeta Julieta E, Germaine Pauline
Department of Radiology, Cooper University Hospital, 1 Cooper Plaza, Suite B23, Camden, NJ 08103, USA.
Department of Hematology and Medical Oncology, MD Anderson Cancer Center at Cooper, Camden, NJ, USA.
Radiol Case Rep. 2017 Jun 28;12(3):431-438. doi: 10.1016/j.radcr.2017.04.012. eCollection 2017 Sep.
Fibromatosis of the breast is a rare benign disease compromising <0.2% of all primary breast tumors. Although the chest wall is a common location, occurrences of implant-associated fibromatosis of the breast are extremely rare; only 33 cases have been reported. We present a case of a 42-year-old female who underwent breast augmentation with silicone breast implants, and 2 years later developed an aggressive implant-associated fibromatosis of the breast and chest wall. On imaging studies, the tumor mimicked breast carcinoma, and despite chemotherapy, the fibromatosis rapidly enlarged and was locally invasive requiring wide surgical excision. Unlike previously reported imaging findings, magnetic resonance imaging revealed an oval circumscribed mass with fringe-like internal architecture. We provide a review of the literature and discuss the imaging features of implant-associated fibromatosis of the breast.
乳腺纤维瘤病是一种罕见的良性疾病，在所有原发性乳腺肿瘤中所占比例不到0.2%。虽然胸壁是常见部位，但植入物相关的乳腺纤维瘤病极为罕见；仅报道过33例。我们报告一例42岁女性，她接受了硅胶乳房植入物隆胸手术，2年后发生了侵袭性的植入物相关乳腺及胸壁纤维瘤病。在影像学检查中，该肿瘤类似乳腺癌，尽管进行了化疗，但纤维瘤病仍迅速增大并具有局部侵袭性，需要广泛手术切除。与先前报道的影像学表现不同，磁共振成像显示为椭圆形边界清晰的肿块，内部结构呈条纹状。我们对文献进行了综述，并讨论了植入物相关乳腺纤维瘤病的影像学特征。
