Low-grade ductal carcinoma in situ (DCIS) arising in a fibroadenoma of the breast during 5 years follow-up
| Autor: | Katsuo Shimada, Kazuhiro Matsui, Ryota Hori, Nobutatsu Takayanagi, Hiroko Shojaku, Toru Yoshida, Kyo Noguchi |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry Breast surgery medicine.medical_treatment Sentinel lymph node General Medicine Ductal carcinoma medicine.disease Fibroadenoma 03 medical and health sciences Breast cancer screening 0302 clinical medicine 030220 oncology & carcinogenesis Ductal carcinoma in situ (DCIS) Medicine Mammography 030212 general & internal medicine Radiology skin and connective tissue diseases business Breast ultrasound |
| Zdroj: | Medicine. 100:e24023 |
| ISSN: | 1536-5964 0025-7974 |
| DOI: | 10.1097/md.0000000000024023 |
| Popis: | Rationale Fibroadenoma (FA) is a common type of benign breast tumors but ductal carcinoma in situ (DCIS) rarely arises within this tumor type. Patient concerns This case report presents a non-symptomatic 61-year-old woman with FA that was coincidentally found during a breast cancer screening program performed 5 years ago by her city of residence. She had subsequently been followed-up with mammography and breast ultrasound (US). US showed a slightly enlarged tumor and dynamic magnetic resonance imaging (MRI) indicated malignancy within the FA. Diagnosis The pathological examination revealed low-grade DCIS within the FA. Interventions The patient underwent a core needle biopsy followed by breast-conserving therapy with sentinel lymph node biopsy and then postoperative radiation therapy. Outcomes Currently, she has been followed-up for 2 years without no signs of recurrence. Lessons Careful observation with US followed by dynamic MRI is essential in the early diagnosis of DCIS originating in a FA. |
| Databáze: | OpenAIRE |
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