Inflammatory myofibroblastic tumors of the breast with simultaneous intracranial, lung, and pancreas involvement: ultrasonographic findings and a review of the literature
Autor: | Norio Nakata, Mari Inoue, Chiaki Taniguchi, Hiroyuki Takahashi, Makiko Nishioka, Megumi Hirano, Hisashi Shioya, Tomoyuki Ohta, Shun Sato, Hironori Yamakawa |
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Rok vydání: | 2017 |
Předmět: |
medicine.medical_specialty
Pathology Lung Neoplasms Adolescent Breast Neoplasms Multimodal Imaging Metastasis Lesion 03 medical and health sciences 0302 clinical medicine medicine Humans Radiology Nuclear Medicine and imaging Family history skin and connective tissue diseases Pathological Lung medicine.diagnostic_test business.industry Brain Neoplasms Ultrasound Magnetic resonance imaging General Medicine medicine.disease Pancreatic Neoplasms medicine.anatomical_structure 030220 oncology & carcinogenesis Female Radiology Ultrasonography Mammary medicine.symptom business Pancreas 030217 neurology & neurosurgery |
Zdroj: | Journal of medical ultrasonics (2001). 45(2) |
ISSN: | 1613-2254 |
Popis: | We encountered a case of inflammatory myofibroblastic tumor (IMT) of the breast with simultaneous intracranial, lung, and pancreas involvement. Here, we present the clinical imaging results and report the significance of sonographic findings of breast IMT along with a review of the literature. A 16-year-old girl with a history of subarachnoidal hemorrhage was admitted to our hospital due to tonic-clonic seizure. Computed tomography (CT) and magnetic resonance imaging (MRI) showed multiple intracranial, lung, and pancreas mass lesions and a solitary mass lesion in the right breast. Breast ultrasonography showed a circumscribed oval-shaped hypoechoic mass with a central hyperechoic region. Power Doppler sonography revealed an unusual spiral-shaped flow signal. Breast tumorectomy was performed for definitive diagnosis, and pathological analysis indicated IMT. A literature review indicated that ultrasonographic findings of IMT of the breast are nonspecific, as in other systems or organs. It would be difficult to make a diagnosis of IMT of the breast preoperatively due to its rarity and the lack of specificity of clinical imaging findings. In addition, it is better to consider the possibility of IMT of the breast especially in younger patients without an obvious family history of hereditary breast cancer. |
Databáze: | OpenAIRE |
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