Small vascular lesions of the breast diagnosed by magnetic resonance imaging-guided vacuum assisted biopsy: Report of 2 cases.

Autor: Perretta T; Department of Diagnostic and Molecular Imaging, Interventional Radiology and Radiotherapy, University Hospital of Rome 'Tor Vergata', Viale Oxford 81, 00133 Rome, Italy., Meucci R; Department of Diagnostic and Molecular Imaging, Interventional Radiology and Radiotherapy, University Hospital of Rome 'Tor Vergata', Viale Oxford 81, 00133 Rome, Italy.; UOSD Breast Unit, Department of Surgical Science, University Hospital of Rome 'Tor Vergata', Rome, Italy., Serio ML; Department of Diagnostic and Molecular Imaging, Interventional Radiology and Radiotherapy, University Hospital of Rome 'Tor Vergata', Viale Oxford 81, 00133 Rome, Italy., Caliandro A; Department of Diagnostic and Molecular Imaging, Interventional Radiology and Radiotherapy, University Hospital of Rome 'Tor Vergata', Viale Oxford 81, 00133 Rome, Italy., Censi M; Department of Diagnostic and Molecular Imaging, Interventional Radiology and Radiotherapy, University Hospital of Rome 'Tor Vergata', Viale Oxford 81, 00133 Rome, Italy., Beninati E; Department of Diagnostic and Molecular Imaging, Interventional Radiology and Radiotherapy, University Hospital of Rome 'Tor Vergata', Viale Oxford 81, 00133 Rome, Italy., Collura A; Department of Diagnostic and Molecular Imaging, Interventional Radiology and Radiotherapy, University Hospital of Rome 'Tor Vergata', Viale Oxford 81, 00133 Rome, Italy., Vanni G; UOSD Breast Unit, Department of Surgical Science, University Hospital of Rome 'Tor Vergata', Rome, Italy., Giacobbi E; Anatomic Pathology, Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy., Anemona L; Department of Experimental Medicine and Surgery, Tor Vergata Hospital Polyclinic, Rome, Italy., Pistolese CA; Department of Diagnostic and Molecular Imaging, Interventional Radiology and Radiotherapy, University Hospital of Rome 'Tor Vergata', Viale Oxford 81, 00133 Rome, Italy.
Jazyk: angličtina
Zdroj: Radiology case reports [Radiol Case Rep] 2022 May 11; Vol. 17 (7), pp. 2492-2500. Date of Electronic Publication: 2022 May 11 (Print Publication: 2022).
DOI: 10.1016/j.radcr.2022.03.100
Abstrakt: Vascular lesions of the breast comprise a heterogeneous group that includes a variety of benign, atypical, and malignant lesions. These are a diagnostic challenge given variable clinical, radiological and pathological presentation, especially when they are small and asymptomatic. We present 2 cases of these rare lesions of the breast which were occult to mammographics and ultrasound studies. Both the lesions were detected only on magnetic resonance imaging, most helpful in the diagnosis of these rare tumor. Histopathological examinations following the magnetic resonance guided biopsies, were initially interpreted as negative for breast cancer in both cases. These turned out to be respectively a low grade angiosarcoma and a benign vascular lesion after a new histopathological examination following a larger magnetic resonance guided biopsies performed in light of the radiology-pathology discordance. Although rare, it is important to consider vascular tumours of the breast; radiologists need to be aware such tumors may present non-specific imaging features.
Competing Interests: The authors declare that they have no conflict of interest.
(© 2022 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
Databáze: MEDLINE