Invasive Ductal Carcinoma Within a Borderline Phyllodes Tumor Associated With Extensive Ductal Carcinoma In Situ: A Case Report
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作者:
Kim, Wang Hyon
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机构:
Inha Univ Hosp, Dept Radiol, Incheon, South KoreaInha Univ Hosp, Dept Radiol, Incheon, South Korea
Kim, Wang Hyon
[1
]
Lee, Kyung Hee
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机构:
Inha Univ Hosp, Dept Radiol, Incheon, South KoreaInha Univ Hosp, Dept Radiol, Incheon, South Korea
Lee, Kyung Hee
[1
]
Oh, Hwa Eun
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机构:
Korea Univ, Ansan Hosp, Dept Pathol, Ansan, South KoreaInha Univ Hosp, Dept Radiol, Incheon, South Korea
Oh, Hwa Eun
[2
]
Seo, Bo Kyoung
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机构:
Korea Univ, Ansan Hosp, Dept Radiol, Ansan, South Korea
Korea Univ, Coll Med, Dept Radiol, Seoul, South KoreaInha Univ Hosp, Dept Radiol, Incheon, South Korea
Seo, Bo Kyoung
[3
,4
]
Bae, Min Sun
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机构:
Korea Univ, Ansan Hosp, Dept Radiol, Ansan, South Korea
Korea Univ, Coll Med, Dept Radiol, Seoul, South KoreaInha Univ Hosp, Dept Radiol, Incheon, South Korea
Bae, Min Sun
[3
,4
]
机构:
[1] Inha Univ Hosp, Dept Radiol, Incheon, South Korea
[2] Korea Univ, Ansan Hosp, Dept Pathol, Ansan, South Korea
[3] Korea Univ, Ansan Hosp, Dept Radiol, Ansan, South Korea
[4] Korea Univ, Coll Med, Dept Radiol, Seoul, South Korea
Phyllodes tumor;
Breast cancer;
Invasive ductal carcinoma;
Magnetic resonance imaging;
D O I:
10.13104/imri.2024.0024
中图分类号:
R8 [特种医学];
R445 [影像诊断学];
学科分类号:
1002 ;
100207 ;
1009 ;
摘要:
Phyllodes tumors of the breast are rare biphasic fibroepithelial neoplasms that may coexist with breast carcinomas. Herein, we report a case of invasive ductal carcinoma (IDC) within a borderline phyllodes tumor accompanied by extensive ductal carcinoma in situ (DCIS) in the same breast. A 72-year-old woman presented with a palpable lump in the right breast. Mammography showed an oval mass associated with segmental microcalcifications, and breast ultrasound (US) revealed a 2.3 cm oval mass and an associated non-mass lesion. Based on US-guided core needle biopsy, the initial biopsy result of the non-mass lesion suggested DCIS; however, the mass was diagnosed as a fibroepithelial lesion. Preoperative dynamic contrast-enhanced magnetic resonance imaging showed a rim-enhancing oval mass with areas of T2 hyperintensity, accompanied by segmental non-mass enhancement. The mass was highly suspicious for malignancy and was considered imaging-pathology discordant. Subsequently, the patient underwent mastectomy. Histopathological examination of the surgical specimens confirmed a borderline phyllodes tumor with an IDC within the tumor and an extensive intraductal component. The invasive carcinoma component was triple- negative breast cancer. This case highlights the diagnostic challenges of identifying coexisting carcinomas within phyllodes tumors and emphasizes the necessity for increased awareness among radiologists regarding this possibility.
机构:
Royal Oldham Hosp, Rochdale Rd, Oldham OLI 2JH, England
Hop Louis Pasteur, F-06002 Nice, FranceRoyal Oldham Hosp, Rochdale Rd, Oldham OLI 2JH, England
机构:
Affiliated Yantai Hosp, Binzhou Med Coll, Dept Pathol, Yantai 264100, Shandong, Peoples R ChinaAffiliated Yantai Hosp, Binzhou Med Coll, Dept Pathol, Yantai 264100, Shandong, Peoples R China
Zhang, Xiangsheng
Liang, Yu
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机构:
Affiliated Yantai Hosp, Binzhou Med Coll, Dept Oncol, Yantai 264100, Shandong, Peoples R ChinaAffiliated Yantai Hosp, Binzhou Med Coll, Dept Pathol, Yantai 264100, Shandong, Peoples R China
Liang, Yu
Wang, Huan-You
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机构:
Univ Calif San Diego Hlth Syst, Dept Pathol, La Jolla, CA 92093 USAAffiliated Yantai Hosp, Binzhou Med Coll, Dept Pathol, Yantai 264100, Shandong, Peoples R China
Wang, Huan-You
INTERNATIONAL JOURNAL OF CLINICAL AND EXPERIMENTAL PATHOLOGY,
2014,
7
(03):
: 1218
-
1223
机构:
China Med Univ, Affiliated Hosp 1, Dept Pathol, 155 Nanjing North St, Shenyang 110001, Liaoning, Peoples R China
China Med Univ, Coll Basic Med Sci, 155 Nanjing North St, Shenyang 110001, Liaoning, Peoples R ChinaChina Med Univ, Affiliated Hosp 1, Dept Pathol, 155 Nanjing North St, Shenyang 110001, Liaoning, Peoples R China
Zhao, Huanyu
Ming, Xiaocui
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机构:
China Med Univ, Peoples Hosp Tacheng Prefecture, Tacheng Hosp, Dept Pathol, 22 Wenhua rd, Tacheng 834700, Xinjiang Uygur, Peoples R ChinaChina Med Univ, Affiliated Hosp 1, Dept Pathol, 155 Nanjing North St, Shenyang 110001, Liaoning, Peoples R China
Ming, Xiaocui
Yang, Zhenyong
论文数: 0引用数: 0
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机构:
China Med Univ, Peoples Hosp Tacheng Prefecture, Tacheng Hosp, Dept Endocrinol, 22 Wenhua rd, Tacheng 834700, Xinjiang Uygur, Peoples R ChinaChina Med Univ, Affiliated Hosp 1, Dept Pathol, 155 Nanjing North St, Shenyang 110001, Liaoning, Peoples R China
机构:
George Washington Univ, Sch Med & Hlth Sci, Frostburg, MD USAGeorge Washington Univ, Sch Med & Hlth Sci, Frostburg, MD USA
Rossi, Cecilia
Capuano, Jacqueline
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机构:
George Washington Univ, Med Fac Assoc, Frostburg, MD USAGeorge Washington Univ, Sch Med & Hlth Sci, Frostburg, MD USA
Capuano, Jacqueline
Haney, Victoria
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机构:George Washington Univ, Sch Med & Hlth Sci, Frostburg, MD USA
Haney, Victoria
McSwain, Anita
论文数: 0引用数: 0
h-index: 0
机构:
George Washington Univ, Med Fac Assoc, Frostburg, MD USA
George Washington Univ Hosp, Washington, DC USAGeorge Washington Univ, Sch Med & Hlth Sci, Frostburg, MD USA
McSwain, Anita
Teal, Christine
论文数: 0引用数: 0
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机构:
George Washington Univ, Med Fac Assoc, Frostburg, MD USAGeorge Washington Univ, Sch Med & Hlth Sci, Frostburg, MD USA