Breast Diseases Involving the Whole Breast : Clinicopathologic and Imaging Features

Congress:

ECR 2018

Poster Number:

C-2105

Type:

Educational Exhibit

Keywords:

Neoplasia, Metastases, Cancer, Education, Diagnostic procedure, Decision analysis, Ultrasound, MR, Mammography, Breast

Authors:

Y.-M. Park, G. W. Shin; Busan/KR

DOI:

10.1594/ecr2018/C-2105

DOI-Link:

https://dx.doi.org/10.1594/ecr2018/C-2105

Fig. 1: Case 1. A 34-year-old woman with sudden enlargement of the both breasts (A) for...

Fig. 2: Case 1. A 34-year-old woman with sudden enlargement of the both breasts (A) for...

Fig. 3: Sonograms (C, D) show circumscribed multinodular hypoechoic masses involving...

Fig. 4: Sonograms (C, D) show circumscribed multinodular hypoechoic masses involving...

Learning objectives

#We present various interesting diseases involving the whole breasts and review the related literatures.

Background

#Some breast diseases can sometimes grow tremendously and lead to involve the entire breast. #These disease can be benign or malignant.

Findings and procedure details

# Case 1 A 34- year-old woman with sudden enlargement of the both breasts for 6 months and a palpable lump in the left axilla <Differential diagnosis> 1. Pseudoangiomatous stromal hyperplasia (PASH) ? 2.Multiple fibroadenomas ? 3.Phyllodes tumor ? 4.Multiple giant hamartomas ? Confirm diagnosis bysurgery: Hamartoma in both breasts and left axilla <Hamartoma> 'Breast within a breast” Uncommon benign disease of the breast accounting 4.8% Mean age of patients : 41.8 years Size : 0.9 ~ 6.9cm Tumor can develop to a larger size...

Conclusion

§The differential diagnosis of whole breast-involving lesions includes both benign and malignant conditions. §Close review of clinical presentation and patients’ medical history can help in the differential diagnosis.

Personal information

References

•Bowman E, Oprea G, Okoli J, Gundry K, Rizzo M, Gabram-Mendola S, et al. Pseudoangiomatous stromal hyperplasia (PASH) of the breast: A series of 24 patients. Breast J. 2012;18:242–7. •Moschetta M, Telegrafo M, Triggiani V, Rella L, Cornacchia I, Serio G, et al. Diabetic mastopathy: A diagnostic challenge in breast sonography. J Clin Ultrasound. 2015;43:113–7. •Porter GJ, Evans AJ, Lee AH, Hamilton LJ, James JJ. Unusual benign breast lesions. Clin Radiol. 2006;61:562–9.