Alduraibi Sharifa Khalid
Department of Radiology, College of Medicine, Qassim University, Buraidah 52571, Saudi Arabia.
Diagnostics (Basel). 2023 Jul 20;13(14):2428. doi: 10.3390/diagnostics13142428.
Liposarcoma of the breast is a rare form of cancerous tumor that can be mistaken for primary breast cancer. A recent instance involved a woman who was 54 years old and went in for her annual screening mammogram. The mammogram revealed that she had a 1 cm focal asymmetry of equal density in her right axillary tail, approximately 9 cm from the nipple. After nine months, the patient observed a rapidly growing mass even though the initial ultrasound scan did not detect anything unusual. A targeted mammogram demonstrated a large and dense mass confined to the right axillary tail, followed by an ultrasound scan that revealed a heterogeneous hyperechoic, echogenic mass. Histopathology after surgery showed that the patient had an undifferentiated pleomorphic breast liposarcoma. This diagnosis was reached after the patient underwent surgery.Liposarcoma of the breast is a concerning condition that needs careful management and close monitoring, although it is relatively uncommon. Early detection of the patient's condition and prompt treatment can help improve the patient's prognosis. This can be accomplished by remaining vigilant with routine screenings and following up on any unusual findings or changes in breast tissue. However, it is possible to diagnose this condition as primary breast cancer incorrectly; consequently, healthcare providers need to conduct comprehensive evaluations to ensure diagnostic accuracy and the delivery of appropriate treatment.
乳腺脂肪肉瘤是一种罕见的癌性肿瘤，可能会被误诊为原发性乳腺癌。最近有一个例子，一名54岁的女性去做年度乳腺筛查钼靶检查。钼靶检查显示，她右腋窝尾部有一个1厘米大小、密度均等的局灶性不对称区域，距离乳头约9厘米。九个月后，尽管最初的超声扫描未发现任何异常，但患者发现肿块迅速增大。针对性钼靶检查显示右腋窝尾部有一个大而致密的肿块，随后的超声扫描显示为一个不均匀的高回声、回声性肿块。手术后的组织病理学检查表明，该患者患有未分化多形性乳腺脂肪肉瘤。此诊断是在患者接受手术后得出的。乳腺脂肪肉瘤是一种需要谨慎处理和密切监测的疾病，尽管相对罕见。早期发现患者病情并及时治疗有助于改善患者的预后。这可以通过对常规筛查保持警惕并跟进乳腺组织的任何异常发现或变化来实现。然而，有可能将这种疾病错误地诊断为原发性乳腺癌；因此，医疗服务提供者需要进行全面评估，以确保诊断准确性并提供适当的治疗。
