scholarly journals Nodular Fasciitis of the breast – An uncommon benign reactive proliferative lesion

2021 ◽  
Vol 6 (4) ◽  
pp. 291-294
Author(s):  
Sunil V Jagtap ◽  
Vaidehi Nagar ◽  
S J Bhosale ◽  
Dharmesh Nagar ◽  
Swati S Jagtap

Nodular fasciitis is rarely reported in breast. It is benign reactive proliferative lesion of fibroblast. A 65 year old female presented to surgical department for left breast mass since 2 months duration, rapidly enlarging without any regional lymphadenopathy. Mammography showed hyperdensity masses with irregular margin. On FNAC reported as benign spindle cell lesion. Left sided two breast masses measuring 4 x 3.3 x 2.5cm and 2.0 x 1.6 x 0.5cm were excised and on histopathology reported as Nodular Fasciitis of left breast. We are presenting this extremely rare case of nodular fasciitis of breast for its clinical, radiological and histopathological findings.

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Shinya Yamamoto ◽  
Takashi Chishima ◽  
Shouko Adachi

Nodular fasciitis is a benign proliferative lesion that is usually found in the soft tissue of the upper extremity and trunk in young to middle-aged persons. It has rarely been described in the breast. A 35-year-old woman had noticed a mass in her left breast. It was elastic-hard, 13 mm in size, and located mainly in the upper inner quadrant of the left breast. Mammography did not detect the mass. Ultrasonography revealed a hypoechoic lesion with an irregular margin. Neither fine-needle aspiration cytology nor core needle biopsy established a definitive diagnosis. Excisional biopsy was therefore performed. Histologically, the excised tumor tissue results were consistent with a diagnosis of nodular fasciitis of the breast. We report a case of nodular fasciitis of the breast, a rare histological type of breast tumor.


2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Ana Amélia Souza ◽  
Eldon Guttenberg Cariri Neto ◽  
Vera Cavalcanti de Araújo ◽  
Fabricio Passador-Santos ◽  
Maria Teresa de Seixas Alves ◽  
...  

This report describes a rare case of nodular fasciitis (NF) of the oral cavity, discussing the clinical, histological, and immunohistochemical characteristics. Histopathologic diagnosis of this type of lesion can be challenging due to its differential diagnosis, which principally includes sarcoma. The patient presented with a painless, well-defined nodule, reported as increasing in size, located at the apical aspect of the upper left buccal sulcus. Histologically, the lesion revealed spindle cell proliferation arranged in fascicles, while immunohistochemistry demonstrated positivity for smooth muscle actin. Eight months after complete surgical excision, no signs of local recurrence have been observed.


2019 ◽  
Vol 7 (1) ◽  
pp. 292
Author(s):  
Divakar Bhat ◽  
Bhagyashree Jagadeeshwara

T cell lymphoblastic lymphoma (T-LBL) is a common variant of Non-Hodgkin’s tumor of mediastinum which presents late due to aggressive spread. Immunohistochemical studies are conclusive in their diagnosis. We present a rare case of mediastinal tumor with left breast mass which mimicked thymoma on computed tomography guided biopsy but was diagnosed T-LBL on immunohistochemistry after surgical excision. 


2017 ◽  
Vol 4 (11) ◽  
pp. 3770
Author(s):  
Bapuji S. Gedam ◽  
Quraysh S. Sadriwala ◽  
Nikita J. Kulkarni

Nodular fasciitis is defined as a benign and reactive fibroblastic growth extending from the superficial fascia into the subcutaneous tissue or muscle. It is a rare benign neoplasm most commonly afflicting the soft tissues of upper extremity followed by trunk, head, and neck. It accounts for 0.025% of all pathologic diagnosis. We report a case of a swelling over the right scapula which on cytology examination was diagnosed as a benign spindle cell lesion. It was subsequently confirmed to be an intramuscular nodular fasciitis on histopathological examination.


2021 ◽  
Vol 3 (6) ◽  
pp. 98-100
Author(s):  
K Krishna Kumar ◽  
VJ Niranjana Bharathi

2020 ◽  
Vol VOLUME 8 (ISSUE 1) ◽  
pp. 47-51
Author(s):  
Vineet Narula

ABSTRACT Spindle Cell Lipoma (SCL) is an uncommon benign tumor of adipose tissue that is usually super􀃶cially located in the posterior neck, back and shoulder region. We report a rare case of SCL in a 39 years old male presenting as neck swelling with c/o stridor and dysphagia. The contrast enhanced computed tomographic scan of neck showed an external and internal part of the swelling traversing through the thyrohyoid membrane suggestive of Mixed Pyolaryngocele. The tumor was excised by a trans-cervical approach but the post operative histopathology was found to be spindle cell Lipoma. We report this case due to its atypical presentation and location. Keywords: Lipoma, Spindle cell, Pyolaryngocele


2021 ◽  
pp. 106689692110187
Author(s):  
Rongying Li ◽  
Karan Saluja ◽  
Brenda Mai ◽  
Michael Covinsky ◽  
Hongxia Sun

Papillary carcinoma in the male breast is uncommon. Here, we report a case of a large encapsulated papillary carcinoma (EPC) in a 62-year-old male. The patient presented with a left breast mass of 1-year duration and bloody nipple discharge for several days. Mammography and breast ultrasonography showed a large left breast mass. The initial biopsy demonstrated fat necrosis with acute and chronic inflammation only. Due to clinical suspicion, a repeat biopsy was performed and revealed scant fragments of papillary carcinoma in a background of inflammation. The patient underwent left total mastectomy. Grossly, the breast contained a 9.0 cm entirely cystic lesion lined by a hemorrhagic thick fibrotic wall. No solid area was identified in the cyst. The entire cyst wall was examined under microscopy; only a few sections with papillary carcinoma were identified. The lesion was confined to the cyst wall; so, a diagnosis of EPC was made. Compared to the previously reported EPC cases of male breast, the lesion of this case was unusually cystic, which making the diagnosis challenging. Therefore, awareness of this unusual feature, repeat biopsy when the pathology result is discordant, and extensive sampling of the lesion are essential for making the correct diagnosis and guiding patient management.


2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Kimihisa Mizoguchi ◽  
Kazuhisa Kaneshiro ◽  
Makoto Kubo ◽  
Yoshihiko Sadakari ◽  
Yoshizo Kimura ◽  
...  

Abstract Background Granulocyte-colony stimulating factor (G-CSF)-producing tumors can cause leukocytosis despite an absence of infection. G-CSF-producing tumors have been reported in various organs such as the lung, esophagus, and stomach but rarely in the breast. We report a case of G-CSF-producing malignant phyllodes tumor of the breast. Case presentation An 84-year-old woman visited our hospital complaining of a lump in her left breast without fever and pain. Laboratory tests revealed elevated white blood cell (WBC) count and G-CSF levels. A malignant tumor of the breast was diagnosed by core needle biopsy. We performed a total mastectomy and sentinel lymph node biopsy. The tumor was identified as a G-CSF-producing malignant phyllodes tumor. Within 7 days after surgery, the patient’s WBC count and G-CSF level had decreased to normal levels. She is alive without recurrence 13 months after surgery. Conclusions We encountered a rare case of G-CSF-producing malignant phyllodes tumor of the breast. PET–CT revealed diffuse accumulation of FDG in the bone. Phyllodes tumors need to be differentiated from bone metastasis, lymphoma, and leukemia. We must be careful to not mistake this type of tumor for bone marrow metastasis.


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