EURORAD ESR

Case 14638

Fibromatosis of the breast: a mimic of cancer

Author(s)
Ines Alves1, Daniela Vinha Pereira2, José Carlos Marques2

(1) Hospital Central do Funchal
(2) Instituto Português de Oncologia de Lisboa Francisco Gentil

Hospital Central do Funchal;
Av. Luís de Camões
9004-514 Funchal, Portugal;
Email:inesmpalves@gmail.com
 
Patient
female, 69 year(s)
 
 
  • Figure 1
    Mammography

    Oblique lateral (A) and craniocaudal incidences (B) revealed focal density with spiculated margins in the right axillary tail of Spence, not seen on B and only partially depicted on A; coarse calcifications. BIRADS 4B

     
    Area of Interest: Breast; Imaging Technique: Mammography; Procedure: Diagnostic procedure; Special Focus: Congenital;
     
     
  • Figure 2
    Right breast ultrasound
     

    Circumscribed, hypoechoic mass with angular margins and slightly posterior acoustic shadowing. BI-RADS 4B

     
    Area of Interest: Breast; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Congenital;

    Circumscribed, hypoechoic mass with angular margins and slightly posterior acoustic shadowing. BI-RADS 4B

     
    Area of Interest: Breast; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Congenital;

    Core needle biopsy of the lesion.

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

    Axial T2W image showing spiculated mass, hypointense on T2W with rapid and avid contrast uptake, that was suspected to have accompanied involvement of the minor pectoralis muscle. BI-RADS 4C

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

    Axial Postcontrast Fat-suppressed T1W image showing spiculated mass, hypointense on T2W with rapid and avid contrast uptake, that was suspected to have accompanied involvement of the minor pectoralis muscle. BI-RADS 4C

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

    Sagittal Postcontrast Fat-suppressed T1W image showing spiculated mass, hypointense on T2W with rapid and avid contrast uptake, that was suspected to have accompanied involvement of the minor pectoralis muscle....

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

    Subtraction 4 minutes after injection of contrast image showing spiculated mass, hypointense on T2W with rapid and avid contrast uptake, that was suspected to have accompanied involvement of the minor pectoralis...

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

    Photomicrographs of the histological specimen of breast core biopsy showing (A) Intersecting fascicles of spindle cells with narrow, enlongated, slightly wavy nuclei, without atypia or mitosis (B) Nuclear expression...

     
    Area of Interest: Breast; Imaging Technique: Percutaneous; Procedure: Diagnostic procedure; Special Focus: Congenital;
     
     
Oblique lateral (A) and craniocaudal incidences (B) revealed focal density with spiculated margins in the right axillary tail of Spence, not seen on B and only partially depicted on A; coarse calcifications. BIRADS 4B
 
Circumscribed, hypoechoic mass with angular margins and slightly posterior acoustic shadowing. BI-RADS 4B
 
Circumscribed, hypoechoic mass with angular margins and slightly posterior acoustic shadowing. BI-RADS 4B
 
Core needle biopsy of the lesion.
 
Axial T2W image showing spiculated mass, hypointense on T2W with rapid and avid contrast uptake, that was suspected to have accompanied involvement of the minor pectoralis muscle. BI-RADS 4C
 
Axial Postcontrast Fat-suppressed T1W image showing spiculated mass, hypointense on T2W with rapid and avid contrast uptake, that was suspected to have accompanied involvement of the minor pectoralis muscle. BI-RADS 4C
 
Sagittal Postcontrast Fat-suppressed T1W image showing spiculated mass, hypointense on T2W with rapid and avid contrast uptake, that was suspected to have accompanied involvement of the minor pectoralis muscle. BI-RADS 4C
 
Subtraction 4 minutes after injection of contrast image showing spiculated mass, hypointense on T2W with rapid and avid contrast uptake, that was suspected to have accompanied involvement of the minor pectoralis muscle. BI-RADS 4C
 
Photomicrographs of the histological specimen of breast core biopsy showing (A) Intersecting fascicles of spindle cells with narrow, enlongated, slightly wavy nuclei, without atypia or mitosis (B) Nuclear expression of beta-catenin (C) Negative oestrogen receptor.
 
 
 
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