A case report of breast cancer in silicone-injected breasts diagnosed by an emerging technique of contrast-enhanced mammography-guided biopsy

被引:3
作者
Cheung, Yun-Chung [1 ]
Kuo, Wen-Lin [2 ]
Lee, Li-Yu [3 ]
Tang, Ya-Chun [1 ]
机构
[1] Chang Gung Univ, Chang Gung Mem Hosp, Dept Med Imaging & Intervent, Med Coll, Taoyuan, Taiwan
[2] Chang Gung Univ, Chang Gung Mem Hosp, Dept Surg, Div Breast Surg,Med Coll, Taoyuan, Taiwan
[3] Chang Gung Univ, Chang Gung Mem Hosp, Dept Pathol, Med Coll, Taoyuan, Taiwan
关键词
silicone-injected breast; breast cancer; contrast-enhanced spectral mammography; breast biopsy; contrast-enhanced mammography-guided biopsy; SPECTRAL MAMMOGRAPHY; SCREENING-PROGRAM; AUGMENTATION; PERFORMANCE; CARCINOMA; WOMEN; MRI;
D O I
10.3389/fonc.2022.884576
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
BackgroundBreast cancer in silicone-injected breasts is often obscured in conventional mammography and sonography. Contrast-enhanced magnetic resonance imaging (CE-MRI) is an optimal modality for cancer detection. This case report demonstrates the use of contrast-enhanced spectral mammography (CESM) and CESM-guided biopsy (CESM-Bx) to diagnose breast cancer in silicone-injected breasts. However, there is no relevant report in the literature. Case PresentationA 59-year-old woman who received a liquid silicone injection for breast augmentation 30 years ago was transferred to our hospital for a CE-MRI-guided biopsy due to a suspicion of cancer in her right breast. The CE-MRI showed a 3.1-cm irregular enhanced mass and a 1.1-cm circumscribe mass in the upper outer quadrant of the right breast. Unfortunately, the CE-MRI-guided biopsy had to wait for 1 month due to a busy schedule. The CESM revealed two masses that were consistent with CE-MRI findings. CESM-Bx was performed, and the patient was diagnosed with invasive lobular carcinoma with an irregular mass and fibroadenoma of the circumscribed mass. The patient underwent substantial surgery. ConclusionsCESM-Bx is a simple emerging technique that can be used feasibly to obtain tissue proof on the concerned enhanced lesion on CESM. In such cases of silicone-injected breasts, the CESM-Bx can be used as an alternative to MRI-guided biopsy for cancer diagnosis.
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页数:8
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