EURORAD ESR

Case 14869

Exophytic tumour in the nipple-areola complex of the breast in a female patient with neurofibromatosis

Author(s)
Yazmín Aseret Ramírez Galván MD, Miguel Antonio Sada Treviño MD, Néstor Alejandro Rangel Ovalle MD

Departamento de Radiología,
Facultad de Medicina y Hospital Universitario
“José Eleuterio González”,
Universidad Autónoma de Nuevo León.
Monterrey, Nuevo León, México
 
Patient
female, 21 year(s)
 
 
  • Figure 1
    Clinical inspection
     

    Multiple back cutaneous lesions, “cafe au lait” spot.

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

    Axillary freckling

     
    Area of Interest: Breast; Imaging Technique: Mammography; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 2
    Abdominal CT
     

    Axial CT showing a retroperitoneal mass, hypodense, with heterogeneous enhancement and central necrosis, which displaces the ascending colon.

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

    Sagittal CT reconstruction at the level of the retroperitoneal mass.

     
    Area of Interest: Breast; Imaging Technique: Mammography; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 3
    Axial CT of the chest and clinical inspection
     

    Axial CT of the chest shows an exophytic tumour found in the complex nipple-areola of left breast.

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

    Aspect of the exophytic tumour in the physical examination, presenting a dark brown colour.

     
    Area of Interest: Breast; Imaging Technique: Mammography; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 4
    Gray scale and Doppler ultrasound of the left breast
     

    Shows an oval, hypoechoic dermal lesion with lobed borders.

     
    Area of Interest: Breast; Imaging Technique: Ultrasound; Ultrasound-Colour Doppler; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    No vascular flow was demonstrated in the examination with Doppler.

     
    Area of Interest: Breast; Imaging Technique: Ultrasound; Ultrasound-Colour Doppler; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 5
    Diagnostic criteria for Neurofibromatosis type 1

    Diagnostic criteria for Neurofibromatosis type 1 (NIH consensus development conference 1988).

     
    Area of Interest: Breast; Imaging Technique: Mammography; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 6
    Left MLO view of mammography
     

    Left MLO view of mammography presents an exophytic tumour in the topography of the nipple.

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

    Zoom of the left MLO view shows a multilobulated and isodense mass.

     
    Area of Interest: Breast; Imaging Technique: Mammography; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
Multiple back cutaneous lesions, “cafe au lait” spot.
 
Axillary freckling
 
Axial CT showing a retroperitoneal mass, hypodense, with heterogeneous enhancement and central necrosis, which displaces the ascending colon.
 
Sagittal CT reconstruction at the level of the retroperitoneal mass.
 
Axial CT of the chest shows an exophytic tumour found in the complex nipple-areola of left breast.
 
Aspect of the exophytic tumour in the physical examination, presenting a dark brown colour.
 
Shows an oval, hypoechoic dermal lesion with lobed borders.
 
No vascular flow was demonstrated in the examination with Doppler.
 
Diagnostic criteria for Neurofibromatosis type 1 (NIH consensus development conference 1988).
 
Left MLO view of mammography presents an exophytic tumour in the topography of the nipple.
 
Zoom of the left MLO view shows a multilobulated and isodense mass.
 
 
 
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