Breast metastases from extramammary malignancies: multimodality imaging aspects

被引:39
作者
Bitencourt, Almir G. V. [1 ]
Gama, Roberta R. M. [2 ]
Graziano, Luciana [1 ]
Negrao, Erika M. S. [1 ]
Sabino, Silvia M. P. S. [2 ]
Watanabe, Anapaula H. U. [2 ]
Guatelli, Camila S. [1 ]
Souza, Juliana A. [1 ]
Mauad, Edmundo C. [2 ]
Marques, Elvira F. [1 ]
机构
[1] AC Camargo Canc Ctr, Dept Imaging, Sao Paulo, SP, Brazil
[2] Barretos Canc Hosp, Radiol Div, Dept Canc Prevent, Barretos, SP, Brazil
关键词
OF-THE-LITERATURE; ULTRASOUND FEATURES; CARCINOMA;
D O I
10.1259/bjr.20170197
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
Breast metastases from extramammary cancers are rare and usually related to poor prognosis. The extramammary tumours most frequently exhibiting breast metastases are melanoma, lymphomas, ovarian cancer, lung and neuroendocrine tumours, and sarcomas. Owing to the lack of reliable and specific clinical or radiological signs for the diagnosis of breast metastases, a combination of techniques is needed to differentiate these lesions from primary breast carcinoma or even benign breast lesions. Multiple imaging methods may be used to evaluate these patients, including mammography, ultrasound, MRI, CT and positron emission tomography CT. Clinical and imaging manifestations are varied, depend on the form of dissemination of the disease and may mimic primary benign and malignant breast lesions. Haematologically disseminated metastases often develop as a circumscribed mass, whereas lymphatic dissemination often presents as diffuse breast oedema and skin thickening. Unlike primary carcinomas, breast metastases generally do not have spiculated margins, skin or nipple retraction. Microlobulated or indistinct margins may be present in some cases. Although calcifications are not frequently present in metastatic lesions, they occur more commonly in patients with ovarian cancer. Although rare, secondary malignant neoplasms should be considered in the differential diagnosis of breast lesions, in the appropriate clinical setting. Knowledge of the most common imaging features can help to provide the correct diagnosis and adequate therapeutic planning.
引用
收藏
页数:7
相关论文
共 14 条
[1]   Intramammary metastases: Comparison of mammographic and ultrasound features [J].
Abbas, Jasmin ;
Wienke, Andreas ;
Spielmann, Rolf Peter ;
Bach, Andreas Gunter ;
Surov, Alexey .
EUROPEAN JOURNAL OF RADIOLOGY, 2013, 82 (09) :1423-1430
[2]   Metastases to the breast revisited: Radiological-histopathological correlation [J].
Bartella, L ;
Kaye, J ;
Perry, NM ;
Malhotra, A ;
Evans, D ;
Ryan, D ;
Wells, C ;
Vinnicombe, SJ .
CLINICAL RADIOLOGY, 2003, 58 (07) :524-531
[3]   Metastases to the breast from extramammary malignancies - PET/CT findings [J].
Benveniste, Ana P. ;
Marom, Edith M. ;
Benveniste, Marcelo F. ;
Mawlawi, Osama R. ;
Miranda, Roberto N. ;
Yang, Wei .
EUROPEAN JOURNAL OF RADIOLOGY, 2014, 83 (07) :1106-1112
[4]   Non-primary breast malignancies: a single institution's experience of a diagnostic challenge with important therapeutic consequences-a retrospective study [J].
Buisman, Florian E. ;
van Gelder, Linda ;
Menke-Pluijmers, Marian B. E. ;
Bisschops, Bob H. C. ;
Plaisier, Peter W. ;
Westenend, Pieter J. .
WORLD JOURNAL OF SURGICAL ONCOLOGY, 2016, 14
[5]   Spectrum of Extramammary Malignant Neoplasms in the Breast With Radiologic-Pathologic Correlation [J].
Kalli, Sirishma ;
Lanfranchi, Michael ;
Alexander, Andrew ;
Makim, Shital ;
Freer, Phoebe E. .
CURRENT PROBLEMS IN DIAGNOSTIC RADIOLOGY, 2016, 45 (06) :392-401
[6]   Characteristics of Metastasis in the Breast From Extramammary Malignancies [J].
Lee, Se Kyung ;
Kim, Wan Wook ;
Kim, Sung Hoon ;
Hur, Sung Mo ;
Kim, Sangmin ;
Choi, Jae Hyuck ;
Cho, Eun Yoon ;
Han, Soo Yeon ;
Hahn, Boo-Kyung ;
Choe, Jun-Ho ;
Kim, Jung-Han ;
Kim, Jee Soo ;
Lee, Jeong Eon ;
Nam, Seok Jin ;
Yang, Jung-Hyun .
JOURNAL OF SURGICAL ONCOLOGY, 2010, 101 (02) :137-140
[7]   Metastatic carcinoid tumor to the breast: report of two cases and review of the literature [J].
Lee, Shimwoo ;
Levine, Pascale ;
Heller, Samantha L. ;
Hernandez, Osvaldo ;
Mercado, Cecilia L. ;
Chhor, Chloe M. .
CLINICAL IMAGING, 2017, 42 :88-92
[8]   The features of breast lymphoma on MRI [J].
Liu, K. ;
Xie, P. ;
Peng, W. ;
Zhou, Z. .
BRITISH JOURNAL OF RADIOLOGY, 2013, 86 (1031)
[9]   Metastasis of primary lung carcinoma to the breast: a systematic review of the literature [J].
Mirrielees, Jennifer A. ;
Kapur, Jaime H. ;
Szalkucki, Linda M. ;
Harter, Josephine M. ;
Salkowski, Lonie R. ;
Strigel, Roberta M. ;
Traynor, Anne M. ;
Wilke, Lee G. .
JOURNAL OF SURGICAL RESEARCH, 2014, 188 (02) :419-431
[10]   CALCIFIED METASTASES FROM MALIGNANT OVARIAN NEOPLASM - REVIEW OF LITERATURE [J].
MONCADA, R ;
COOPER, RA ;
GARCES, M ;
BADRINATH, K .
RADIOLOGY, 1974, 113 (01) :31-35