EURORAD ESR

Case 14555

Juvenile papillomatosis of the breast

Author(s)
Santos-Magadán S, López-Casañas AM, Martínez-González J, Taborda Ramírez LF, Moreno-Torres A, Carreira-Gómez C

Hospital Universitario de Fuenlabrada, Radiology; Camino del Molino 2, Fuenlabrada Madrid, Spain; Email:sarasantosmagadan@hotmail.com
 
Patient
female, 15 year(s)
 
 
  • Figure 1
    Fig. 1. Ultrasound
     

    Ultrasound image. Panoramic view. Palpation area in the upper inner quadrant of the right breast showing a multicystic mass.

     
    Area of Interest: Oncology; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Ultrasound image. Palpation area with multiple small cysts. The mass is non-well circumscribed.

     
    Area of Interest: Breast; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 2
    MRI. Fat-suppressed post gadolinium T1WI

    Sagittal view. Segmental distribution of the mass (larger diameter 6 cm)

     
    Area of Interest: Breast; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 3
    MRI
     

    Axial Fat-Suppressed T2WI (Fat Suppressed). Multiple small clustered cysts in the upper inner quadrant of the right breast.

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

    Axial T1WI. The mass is hypointense.

     
    Area of Interest: Abdomen; Imaging Technique: CAD; Procedure: Ablation procedures; Special Focus: Abscess;

    Axial post gadolinium T1WI (Fat Suppressed) showing a pattern of slow and progressive enhancement (type I curve)

     
    Area of Interest: Breast; Imaging Technique: PET; Procedure: Venous access; Special Focus: Acute;

    Axial post gadolinium kinetic curve showing progressive uptake curve (type 1).

     
    Area of Interest: Abdominal wall; Imaging Technique: CAD; Procedure: Ablation procedures; Special Focus: Trauma;

    Axial DWI. High signal with high values on ADC

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

    ADC. High signal with high values (1.7x10-3mm/s)

     
    Area of Interest: Breast; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 4
    Histologic sample
     

    Cysts with apocrine metaplasia in some of them, hyperplasia and micropapillary pattern. The cysts contained a dense material with proteinaceous appearance and focally showed chronic periductal inflammation.

     
    Area of Interest: Breast; Imaging Technique: Ultrasound; Procedure: Biopsy; Special Focus: Neoplasia;

    Intraductal hyperplasia with micropapilary pattern.

     
    Area of Interest: Breast; Imaging Technique: Ultrasound; Procedure: Biopsy; Special Focus: Neoplasia;
     
     
Ultrasound image. Panoramic view. Palpation area in the upper inner quadrant of the right breast showing a multicystic mass.
 
Ultrasound image. Palpation area with multiple small cysts. The mass is non-well circumscribed.
 
Sagittal view. Segmental distribution of the mass (larger diameter 6 cm)
 
Axial Fat-Suppressed T2WI (Fat Suppressed). Multiple small clustered cysts in the upper inner quadrant of the right breast.
 
Axial T1WI. The mass is hypointense.
 
Axial post gadolinium T1WI (Fat Suppressed) showing a pattern of slow and progressive enhancement (type I curve)
 
Axial post gadolinium kinetic curve showing progressive uptake curve (type 1).
 
Axial DWI. High signal with high values on ADC
 
ADC. High signal with high values (1.7x10-3mm/s)
 
Cysts with apocrine metaplasia in some of them, hyperplasia and micropapillary pattern. The cysts contained a dense material with proteinaceous appearance and focally showed chronic periductal inflammation.
 
Intraductal hyperplasia with micropapilary pattern.
 
 
 
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