scholarly journals Imaging findings for malignancy-mimicking nodular fasciitis of the breast and a review of previous imaging studies

2013 ◽  
Vol 2 (8) ◽  
pp. 204798161351283 ◽  
Author(s):  
Youn Mi Son ◽  
Ji Hae Nahm ◽  
Hee Jung Moon ◽  
Min Jung Kim ◽  
Eun-Kyung Kim
Keyword(s):  
Needle Biopsy ◽  
Excisional Biopsy ◽  
Left Breast ◽  
Nodular Fasciitis ◽  
Histopathologic Examination ◽  
Imaging Studies ◽  
Palpable Mass ◽  
Hypoechoic Mass ◽  
Us Findings ◽  
Indistinct Margin

We report a case of nodular fasciitis of the breast mimicking malignant tumor. A 41-year-old female patient with a palpable mass in the upper center of the left breast present for 1 week visited our hospital. A mammogram showed an oval isodense with a partially indistinct margin. Ultrasonography demonstrated a hypoechoic mass, 8 × 11 mm in size. Breast cancer could not be excluded based on mammographic and ultrasonographic (US) findings. A core needle biopsy and excisional biopsy were performed. Histopathologic examination revealed a diagnosis of nodular fasciitis of the breast. The mammographic and US findings of nodular fasciitis in the breast is reviewed.

scholarly journals Granular cell tumor of the breast mimicking malignancy: a case report with a literature review

2018 ◽  
Vol 7 (12) ◽  
pp. 205846011881653 ◽  
Author(s):  
Keishi Fujiwara ◽  
Ichiro Maeda ◽  
Hidefumi Mimura
Keyword(s):  
Needle Biopsy ◽  
Granular Cell Tumor ◽  
Soft Tissues ◽  
Malignant Lesion ◽  
Granular Cell ◽  
Left Breast ◽  
Cell Tumor ◽  
Histopathologic Examination ◽  
Female Breast ◽  
Immunohistochemical Studies

Granular cell tumor (GCT) is a rare neoplasm of the soft tissues and <1% of all GCTs are malignant. Initially, GCT was considered a myogenic lesion affecting the female breast (myoblastoma). We report the case of an 83-year-old woman with a palpable lump in the left breast; mammography and ultrasound showed an irregular lesion. It was difficult to differentiate it from a malignant lesion; therefore, we performed core needle biopsy and histopathologic examination and immunohistochemical studies revealed a GCT of the breast.

scholarly journals Nodular Fasciitis of the Breast Mimicking Breast Cancer

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Shinya Yamamoto ◽  
Takashi Chishima ◽  
Shouko Adachi
Keyword(s):  
Tumor Tissue ◽  
Excisional Biopsy ◽  
Needle Aspiration ◽  
Left Breast ◽  
Definitive Diagnosis ◽  
Nodular Fasciitis ◽  
Aspiration Cytology ◽  
Irregular Margin ◽  
Proliferative Lesion ◽  
Needle Aspiration Cytology

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.

Pseudoangiomatous Stromal Hyperplasia on Core Needle Biopsy Does Not Require Surgical Excision

2016 ◽  
Vol 82 (2) ◽  
pp. 117-121 ◽  
Author(s):  
Adam Protos ◽  
Kim T. Nguyen ◽  
Jamie L. Caughran ◽  
Michael Naski ◽  
Jessica L. Keto
Keyword(s):  
Core Needle Biopsy ◽  
Needle Biopsy ◽  
Group Versus ◽  
Surgical Excision ◽  
Excisional Biopsy ◽  
Data Set ◽  
Palpable Mass ◽  
Core Needle ◽  
Pseudoangiomatous Stromal Hyperplasia

Pseudoangiomatous stromal hyperplasia (PASH) is an uncommon, benign localized fibrotic lesion. Historically, PASH has been difficult to differentiate from angiosarcoma. This difficulty has led to recommendations of surgical excision. We sought to identify the incidence of upgraded pathology to atypia or malignancy on surgical excisional biopsy after identification of PASH on core needle biopsy (CNB). A 5-year retrospective review at a single institution was conducted including all cases of PASH confirmed on CNB. The data set was divided into patients who underwent excisional biopsy and those followed only by imaging. Primary end points included the incidence of subsequent malignancy or high-risk pathology on histologic analysis or the presentation of suspicious imaging. Thirty-seven patients were reviewed, 19 (51.4%) underwent surgical excision and 18 (48.6%) were followed with imaging alone. A palpable mass was noted in 36.8 per cent of patients in the excisional group versus 5.6 per cent in the imaging group ( P = 0.02). The median follow-up for the excisional and imaging groups were 43 and 35 months, respectively ( P = 0.85). The 95 per cent confidence interval for the presence of malignancy was 0 to 9.4 per cent. Although further characterization of PASH is needed, our data support using CNB with follow-up imaging as a safe alternative to excisional biopsy in the absence of symptoms or other clinical factors. However, further research in this area is needed.

Three-Millimeter Apocrine Adenoma in a Man: A Case Report and Review of the Literature

2003 ◽  
Vol 127 (11) ◽  
pp. 1498-1500
Author(s):  
Melissa A. Pasquale-Styles ◽  
Clara Milikowski
Keyword(s):  
Case Report ◽  
Microscopic Examination ◽  
Rare Case ◽  
Excisional Biopsy ◽  
Left Breast ◽  
Review Of The Literature ◽  
Granular Eosinophilic Cytoplasm ◽  
Eosinophilic Cytoplasm ◽  
Hypoechoic Nodule

Abstract We describe a rare case of apocrine adenoma of the breast in a 45-year-old man. The patient presented with a tender lump in his left breast that had been present for 6 months. A mammogram identified a 3-mm nodular density in the breast, which was described as a hypoechoic nodule on ultrasound. Microscopic examination of tissue from an excisional biopsy revealed a 3-mm group of benign glands with abundant granular, eosinophilic cytoplasm and apical luminal blebbing, consistent with an apocrine adenoma. After reviewing other reported apocrine adenomas in the literature, we determined that our case was the smallest detected apocrine adenoma to be reported to date.

scholarly journals Nodular fasciitis on the zygomatic region: a rare presentation

2013 ◽  
Vol 88 (6 suppl 1) ◽  
pp. 89-92 ◽  
Author(s):  
Ilner de Souza e Souza ◽  
Mayra Carriijo Rochael ◽  
Rogério Estevam Farias ◽  
Roberto Bezerra Vieira ◽  
Janaina Silva Tirapelle Vieira ◽  
...  
Keyword(s):  
Benign Tumor ◽  
Histopathological Examination ◽  
Excisional Biopsy ◽  
Nodular Fasciitis ◽  
Rare Presentation ◽  
Ki 67 ◽  
Immunohistochemical Markers ◽  
The Face ◽  
Rare Location ◽  
High Cellularity

Nodular fasciitis is a benign tumor, resulting from reactive proliferation composed of fibroblastic/myofibroblastic cells. Due to its rapid growth and high cellularity it may be mistaken for sarcoma. Despite the possibility of spontaneous regression, excision is the treatment of choice. A 24-year-old female patient presented with a nodule on the zygomatic region with 3 months of evolution. Excisional biopsy was performed. Histopathological examination associated with immunohistochemical markers HHF35, AML and Ki-67 allowed diagnostic confirmation. The main relevance of the case presented is its rare location, suggesting its inclusion among the differential diagnoses of tumor lesions on the face.

scholarly journals Schwannoma aurikula dekstra yang meluas ke kanalis auditorius eksternus

2017 ◽  
Vol 47 (1) ◽  
pp. 74
Author(s):  
Astin Prima Sari ◽  
Dian Ayu Ruspita
Keyword(s):  
Case Report ◽  
Local Recurrence ◽  
Schwann Cells ◽  
Case Reports ◽  
Excisional Biopsy ◽  
Benign Tumors ◽  
Clinical Question ◽  
Histopathologic Examination ◽  
Age And Sex

Latar belakang: Schwannoma merupakan tumor jinak yang berasal dari sel Schwann. InsidenSchwannoma aurikula sangat jarang. Sebagian besar yang terjadi adalah Schwannoma vestibular.Penatalaksanaaan dengan ekstirpasi secara in toto dapat mencegah kekambuhan.Tujuan: Melaporkansatu kasus jarang, yaitu Schwannoma aurikula yang meluas ke kanalis auditorius eksternus (KAE).Kasus: Anak laki-laki usia 3 tahun datang dengan keluhan muncul benjolan pada daun telinga kiri sejak 6bulan terakhir, yang membesar perlahan hingga menutupi liang telinga. Dilakukan ekstirpasi biopsi padamassa tumor, dengan pendekatan retroaurikula. Massa dapat dilepas secara in toto. Hasil histopatologikesan Schwannoma. Enam bulan pasca operasi tidak didapatkan kekambuhan.Metode: Penelusurankepustakaan didapatkan 5 jurnal laporan kasus yang relevan.Hasil: Dari 5 kasus, seluruhnya melakukanekstirpasi massa Schwannoma secara in toto. Terdapat 2 kasus mengunakan pendekatan transmeatal, 2kasus dengan pendekatan retroaurikula, dan 1 kasus ekstirpasi langsung pada aurikula.Kesimpulan:Schwannoma aurikula merupakan kasus yang sangat jarang. Tidak ada kecenderungan usia maupun jeniskelamin tertentu. Penanganan dengan ekstirpasi yang komplit dapat mencegah kekambuhan.Kata kunci: Schwannoma aurikula, ekstirpasi, insisi retroaurikula ABSTRACTBackground: Schwannoma is a Schwann cells benign tumors. The incidence of auricularSchwannoma is rare. The most common is vestibular Schwannoma. Treatment of choice is completesurgical excision, and recurrence is rare. Purpose: Reporting a rase case of an auricular Schwannomathat spread to external auditory canals. Case: A three years old boy presented with a swelling in the leftauricular for 6 months, which was progressively increasing and spread into external auditory canals.An excisional biopsy via postauricular was performed under general anesthesia. The mass was totallyremoved. Diagnosis was reported to be Schwannoma by histopathologic examination. There was no signsof local recurrence during a 6 months of follow-up period. Method: Search literatures for evidence found5 case report journals were relevant to our clinical question. Result: From the 5 journals, all of themopted to do total excisional removal, 2 cases by transmeatal incision, 2 cases by postauricular incision,and 1 case by direct incision of the auricular mass. Conclusion: Auricular schwannoma is a rare case.Previous case reports showed no sufficient relevance on the age and sex tendency to the occurence ofauricular Schwannoma. A complete extirpation can prevent recurrence.Key words: Auricular schwannoma, extirpation, postroauricular incision

Idiopathic granulomatous mastitis diagnosed during pregnancy associated with successful breastfeeding experience

2021 ◽  
Vol 14 (8) ◽  
pp. e241232
Author(s):  
Adeola M Awomolo ◽  
Adetola Louis-Jacques ◽  
Susan Crowe
Keyword(s):  
Needle Biopsy ◽  
Left Breast ◽  
First Year ◽  
Team Approach ◽  
Granulomatous Mastitis ◽  
Idiopathic Granulomatous Mastitis ◽  
Core Needle ◽  
Multidisciplinary Team Approach ◽  
Breast Condition ◽  
Pregnancy And Lactation

Idiopathic granulomatous mastitis (IGM) is a rare benign breast condition with a course that is often rapidly progressive and slow to resolve. There is no consensus on management, especially during pregnancy and lactation. A 30-year-old at 33 weeks presented with mastalgia, induration and galactorrhoea in the left breast. There was no improvement with antibiotics. Initial workup was negative, and a core needle biopsy showed findings consistent with the diagnosis of IGM. She was treated with steroids antepartum. She was co-managed by rheumatology and her obstetrician/breastfeeding medicine specialist postpartum. She was treated with azathioprine, breastfed exclusively for 6 months and continued breastfeeding through the first year. A multidisciplinary team approach is crucial in diagnosing, treating, and facilitating successful breastfeeding in patients with IGM.

scholarly journals Unilateral Usual Ductal Hyperplasia in A 22 Years Old Male Patient: A Case Report

2019 ◽  
Vol 3 (2) ◽  
pp. 41
Author(s):  
Kelvin Setiawan ◽  
Bramastha Aires Rosadi ◽  
Terry Renata Lawanto ◽  
Primariadewi Rustamadji
Keyword(s):  
Physical Examination ◽  
Left Breast ◽  
Cell Hyperplasia ◽  
Tumor Biopsy ◽  
Palpable Mass ◽  
Usual Ductal Hyperplasia ◽  
Areola Complex ◽  
Increased Risk ◽  
Ductal Hyperplasia

Background: Benign breast disease have been broadly classified into non-proliferative lesions, proliferative lesions without atypia and hyperplasia with atypia. Proliferative disease, such as usual ductal hyperplasia, is associated with a 1.5 to 2 fold increased risk of developing invasive carcinoma. We reported a case of usual ductal hyperplasia in a young male. Case: A 22-year-old male complained of discomfort and enlargement of unilateral breast. Physical examination at that time revealed a palpable mass in the lateral upper quadrant of the patient’s left breast, three centimeters from nipple areola complex. The examination of axilla didn’t reveal any lymph node enlargement on both sides. His vital signs were normal without any abnormalities found on examination. Ultrasonography examination demonstrated fibroglandular tissue in the left breast with the volume of 11.13 cm3, consist of 4.8 cm length, 2.9 cm width and 0.8 cm depth. Excisional tumor biopsy was done on his left breast. Usual duct cell hyperplasia was present in microscopic examination with chronic inflammatory cells spreading around the fibrotic stromal cell. Physical examination, radiologic examination, and biopsy were all performed in this patient. Although the accuracy of the triple test is high, benign concordant results do not obviate further surveillance of a palpable mass. We advised our patient to routinely follow-up his condition every 6 months for 1 to 2 years, especially if there any changes found on his breasts. Conclusion: Any guidelines and further studies regarding patient’s follow-up examination after biopsy for male breasts tumor are needed in order of better understanding about this disease.

scholarly journals Axillary silicone lymphadenopathy secondary to augmentation mammaplasty

2010 ◽  
Vol 43 (02) ◽  
pp. 206-209
Author(s):  
Dimitrios M. Dragoumis ◽  
Anthoula S. Assimaki ◽  
Triantafyllos I. Vrizas ◽  
Aris P. Tsiftsoglou
Keyword(s):  
Lymph Nodes ◽  
Histological Analysis ◽  
Breast Implants ◽  
Excisional Biopsy ◽  
Left Breast ◽  
Augmentation Mammaplasty ◽  
Resonance Imaging ◽  
Axillary Mass ◽  
Axillary Lump ◽  
Silicone Prostheses

ABSTRACTWe report a case involving a 45-year-old woman, who presented with an axillary mass 10 years after bilateral cosmetic augmentation mammaplasty. A lump was detected in the left axilla, and subsequent mammography and magnetic resonance imaging demonstrated intracapsular rupture of the left breast prosthesis. An excisional biopsy of the left axillary lesion and replacement of the ruptured implant was performed. Histological analysis showed that the axillary lump was lymph nodes containing large amounts of silicone. Silicone lymphadenopathy is an obscure complication of procedures involving the use of silicone. It is thought to occur following the transit of silicone droplets from breast implants to lymph nodes by macrophages and should always be considered as a differential diagnosis in patients in whom silicone prostheses are present.

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