Harada Taiyo L, Nakashima Kazuaki, Uematsu Takayoshi, Sugino Takashi, Nishimura Seiichirou, Takahashi Kaoru, Tadokoro Yukiko, Hayashi Tomomi, Watanabe Junichiro, Nakamoto Shogo
Division of Breast Imaging and Breast Interventional Radiology, Shizuoka Cancer Center Hospital, Shizuoka, 411-8777, Japan.
Division of Pathology, Shizuoka Cancer Center Hospital, Shizuoka, 411-8777, Japan.
Eur J Radiol Open. 2019 Sep 16;6:302-306. doi: 10.1016/j.ejro.2019.08.002. eCollection 2019.
A 63-year-old woman was referred to our hospital for breast cancer treatment. She had a large HER2-positive breast tumor on her left breast, and received neoadjuvant chemotherapy. After treatment, a shrunk spiculated mass with calcification-like high density was detected on mammography, and MRI revealed a large strong susceptibility artifact. Surgical specimen analysis attributed these imaging features to a large marked hemosiderin deposition. This case is herein reported due to its rarity and to the importance of acknowledging that this large marked hemosiderin depositions can present as a calcification-like high density on mammography and shows large susceptibility artifact on MRI imaging.
一名63岁女性因乳腺癌治疗被转诊至我院。她左侧乳房有一个巨大的HER2阳性乳腺肿瘤,并接受了新辅助化疗。治疗后,乳腺钼靶检查发现一个缩小的、有钙化样高密度的毛刺状肿块,MRI显示有一个大的明显的磁敏感伪影。手术标本分析将这些影像学特征归因于大量明显的含铁血黄素沉积。本文报告此病例是因其罕见性以及认识到这种大量明显的含铁血黄素沉积在乳腺钼靶上可表现为钙化样高密度且在MRI成像上显示大的磁敏感伪影的重要性。