| Autor: |
Ines Nevelsteen, Anne-Sophie Vanhoenacker, Lise Waumans, Ongeval C Van, Giuseppe Floris |
| Rok vydání: |
2021 |
| Předmět: |
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| Zdroj: |
Journal of Case Reports and Images in Oncology. 7:1-6 |
| ISSN: |
2582-1318 |
| DOI: |
10.5348/100082z10va2021cr |
| Popis: |
Introduction: Fibroepithelial breast lesions are biphasic neoplasms characterized by proliferation of both stromal and epithelial cells. They encompass a spectrum of tumors ranging from benign fibroadenoma to potentially fatal malignant phyllodes tumor, with tumors of borderline clinical significance in-between. It is important to correctly characterize each lesion, as this defines management and thus risk of local recurrence and potential distant metastasis in case of malignancy. Case Report: A 48-year-old woman presented with a palpable retro-areolar lump in the left breast. After core biopsy, the initial pathology report initiated tumorectomy. When the final report stated a borderline phyllodes tumor with incomplete resection, reintervention was needed with wide surgical margins to avoid local recurrence. The local re-excision showed scarring and steatonecrosis as a result of the previous procedure, but no residual lesion. Consequently, there was no need for further surgical intervention. Conclusion: Fibroepithelial lesions (FEL) of the breast are a wide variety of lesions with distinct management based on the exact pathologic character. Core needle biopsy poses a risk of sampling error due to intratumoral heterogeneity that sometimes may be found in cellular FEL. As a consequence, upgrading at the time of the excision specimen can frequently occur with need of reintervention. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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