18F-FDG Imaging of the Primary Breast Leiomyosarcoma and Follow-Up Lung Metastasis

被引:8
作者
Pai, Moonsun [1 ]
Yoon, Seok-Nam [2 ]
机构
[1] Kwandong Univ, Coll Med, Myongji Hosp, Dept Nucl Med, Goyang, South Korea
[2] Kwandong Univ, Coll Med, Women Canc Ctr, Dept Nucl Med,Cheil Gen Hosp, Seoul 100380, South Korea
关键词
F-18-FDG; breast; leiomyosarcoma; OF-THE-LITERATURE; SARCOMA;
D O I
10.1097/RLU.0b013e31826c0d0c
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
A 46-year-old woman presented with a large left breast mass. FDG PET/CT demonstrated a large left breast mass (SUV = 28). Preoperative biopsy showed malignant sarcoma. Modified radical mastectomy was performed. Immunohistochemical analysis using h-caldesmon and smooth muscle actin staining established the diagnosis of primary breast leiomyosarcoma. Despite intensive chemotherapy, 3-month follow-up PET/CT revealed a large lung metastasis suggesting aggressiveness and poor response to chemotherapy. Primary leiomyosarcoma of the breast is extremely rare and difficult to diagnose before excisional surgery because of the need for immunohistochemical staining to confirm the diagnosis.
引用
收藏
页码:E152 / E154
页数:3
相关论文
共 8 条
[1]   Breast spindle cell tumours: about eight cases [J].
El All, Howayda S. Abd .
DIAGNOSTIC PATHOLOGY, 2006, 1 (1)
[2]   Primary breast sarcoma: clinicopathologic series from the Mayo Clinic and review of the literature [J].
Adem, C ;
Reynolds, C ;
Ingle, JN ;
Nascimento, AG .
BRITISH JOURNAL OF CANCER, 2004, 91 (02) :237-241
[3]   F-18 FDG whole-body positron emission tomography scan in primary breast sarcoma [J].
Bakheet, SM ;
Powe, J ;
Ezzat, A ;
Al Suhaibani, H ;
Tulbah, A ;
Rostom, A .
CLINICAL NUCLEAR MEDICINE, 1998, 23 (09) :604-608
[4]   Needle aspiration cytology and immunohistologic findings in a case of leiomyosarcoma of the breast [J].
Gupta, Raj K. .
DIAGNOSTIC CYTOPATHOLOGY, 2007, 35 (04) :254-256
[5]   Primary leiomyosarcoma of the breast: diagnosis, management and outcome. A report of a new case and review of literature [J].
Hussien, M ;
Sivananthan, S ;
Anderson, N ;
Shiels, A ;
Tracey, N ;
Odling-Smee, GW .
BREAST, 2001, 10 (06) :530-534
[6]   Leiomyosarcoma of the breast - Report of a case with fine needle aspiration cytologic, histologic and immunohistochemical features [J].
Jayaram, G ;
Jayalakshmi, P ;
Yip, CH .
ACTA CYTOLOGICA, 2005, 49 (06) :656-660
[7]   Primitive leiomyosarcoma of the breast: case report and review of the literature [J].
Munitiz, V ;
Rios, A ;
Canovas, J ;
Ferri, B ;
Sola, J ;
Canovas, P ;
Illana, J ;
Parrilla, P .
BREAST, 2004, 13 (01) :72-76
[8]   Image of the month - Answer - Leiomyosarcoma of the breast [J].
Vu, Lan T. ;
Luce, Judith ;
Knudson, M. Margaret .
ARCHIVES OF SURGERY, 2006, 141 (12) :1263-1264