Nagarajan Bhagyam, Autkar Gayatri, Patel Keyuri, Sanghvi Meghal
Department of Radiology, Wockhardt Hospital, Mumbai, India.
J Radiol Case Rep. 2018 Dec 31;12(12):10-15. doi: 10.3941/jrcr.v12i12.3457. eCollection 2018 Dec.
Liposarcoma of breast is a rare breast malignancy. It accounts for 0.3% of the breast sarcomas. Subtypes of breast sarcomas are angiosarcoma (most common), liposarcoma, malignant fibrous histiocytoma, leiomyosarcoma and fibrosarcoma. We hereby report a case of liposarcoma in a 55 year old female emphasizing the imaging features that can aid in differentiating it from carcinomas, other sarcomas and benign fat containing masses. This is important as treatment of these varying conditions differ widely. Histologically, liposarcoma may be well differentiated, mixed or dedifferentiated (high grade). Risk of metastasis and recurrence increase with higher grade. Determination of the degree of differentiation is important for surgical planning and prognosis.
乳腺脂肪肉瘤是一种罕见的乳腺恶性肿瘤。它占乳腺肉瘤的0.3%。乳腺肉瘤的亚型包括血管肉瘤(最常见)、脂肪肉瘤、恶性纤维组织细胞瘤、平滑肌肉瘤和纤维肉瘤。我们在此报告一例55岁女性的脂肪肉瘤病例,强调有助于将其与癌、其他肉瘤及含脂肪的良性肿块相鉴别的影像学特征。这一点很重要,因为这些不同病症的治疗方法差异很大。在组织学上,脂肪肉瘤可分为高分化、混合型或去分化型(高级别)。随着分级升高,转移和复发风险增加。确定分化程度对于手术规划和预后很重要。