EURORAD ESR

Case 14013

Giant juvenile fibroadenoma in an 11-year-old girl.

Author(s)
Marta Tovar Pérez, María Isabel Rozas Goméz, Inés Solís Muñiz, José Fernández Palomino, Olga Suárez Traba, Carmen Botía González.

Hospital Morales Meseguer,
Servicio de Radiodiagnóstico; A
v. Marqués de los Vélez s/n
30008, Spain;
Email: martatovarperez@hotmail.com.

Hospital Infantil Universitario Niño Jesús,
Servicio de Radiodiagnóstico;
Av. de Menéndez Pelayo, 65,
28009 Madrid, Spain
 
Patient
female, 11 year(s)
 
 
  • Figure 1
    Photograph of the patient

    Our patient's photograph illustrated a lump in the left breast with prominent veins on the skin (head arrow).

     
    Area of Interest: Breast; Imaging Technique: Image manipulation / Reconstruction; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
  • Figure 2
    Ultrasound

    Ultrasound demonstrated a hypoechoic, well-defined mass replacing most of the normal left breast tissue. It measured 11.3x10.5 cm (APxT).

     
    Area of Interest: Breast; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
  • Figure 3
    Doppler colour ultrasound

    The mass is avascular during colour Doppler evaluation.

     
    Area of Interest: Breast; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
  • Figure 4
    MRI
     

    MRI demonstrated a well-defined mass that was predominantly isointense in T1-weighted images.

     
    Area of Interest: Breast; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Pathology;

    STIR-T2 sequence showed a hyperintense left breast mass (asterisk) that replaced the normal breast tissue towards the tail of the breast (white arrow).

     
    Area of Interest: Breast; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
  • Figure 5
    3D-MIP MRI reconstruction

    The mass replaced most of the normal breast tissue in this 3D- MIP MRI reconstruction (asterisk).

     
    Area of Interest: Breast; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
  • Figure 6
    Chest radiograph

    PA chest X-ray showed a mass in the left breast (asterisk) without evidence of bone involvement, pulmonary nodules or pleural effusion.

     
    Area of Interest: Breast; Imaging Technique: Conventional radiography; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
Our patient's photograph illustrated a lump in the left breast with prominent veins on the skin (head arrow).
 
Ultrasound demonstrated a hypoechoic, well-defined mass replacing most of the normal left breast tissue. It measured 11.3x10.5 cm (APxT).
 
The mass is avascular during colour Doppler evaluation.
 
MRI demonstrated a well-defined mass that was predominantly isointense in T1-weighted images.
 
STIR-T2 sequence showed a hyperintense left breast mass (asterisk) that replaced the normal breast tissue towards the tail of the breast (white arrow).
 
The mass replaced most of the normal breast tissue in this 3D- MIP MRI reconstruction (asterisk).
 
PA chest X-ray showed a mass in the left breast (asterisk) without evidence of bone involvement, pulmonary nodules or pleural effusion.
 
 
 
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