Aims and objectives
To evaluate the imaging presentation of adenomyoepithelioma (AME) of the breast and its BI-RADS classification.
AMEs are very rare breast tumors.
In the WHO classification they belong to the myoepithelial-epithelial tumors¹.They were described for the first time in 1970 by Hamperl et al² to designate those tumors that are constituted by myoepithelial cells and glandular elements.
Histopathologically speaking they are characterized by having a biphasic proliferation constituted by layers of myoepithelial cells around spaces delimited by epithelium³.
The immunohistochemical findings play a key rol in...
Methods and materials
We retrospectively evaluated mammographic and ultrasound images of AME diagnosed by CNB using ultrasound guidance during the period between September 2008 to September 2018.
Twenty-five AME’s were diagnosed in 24 patients out of a total of 4315 punctures,in our experience,
0.5% of the punctures resulted in adenomyoepithelioma.
The patients were refered either due to a palpable mass N: 4 (16.6%) or annualbreast health control N: 20 (83.4%).
In this study,
our women population have private health coverage and they come to our breast diagnostic department...
Results
AMEs were clinically evident as a palpable mass in N: 4 lesions (16%).
Non-palpable mass N: 21 (84%) were findings due to mammographic and ultrasound breast controls.
The patients age ranged from 20 to 52 years with an average age of 40 years.
The lesion diameter varied between 6.5 and 21 mm with an average size of 11.7 mm.
Regarding the location,
we found that it was dominant in the right breast (RB): N: 16 (66.7%) whilst N: 8 (33.3%) were found in the left...
Conclusion
Adenomyoepitheliomaof the breastare very rare tumors.
There are about 200 cases published in the world literature⁶.
In our study,
in a series of 4315 breast punctures with CNB and ultrasound control,
25 of them were diagnosed with AME,
corresponding to 0.5% of the total.
The image analysis of these lesions and their classification with the BI-RADS system allowed us to collect data for greater knowledge of this pathology.
They were 100% observed by ultrasound and most of them were classified as BI-RADS 4 and within...
References
2012 WHO Classification of Tumors of the Breast.
Hamperl H.
The myothelia (myoepithelial cells).
Normal state;regressive changes; hyperplasia; tumors.
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