Tubulolobular carcinoma of the breast: Clinical, mammographic and sonographic findings

Autor: Ayşenur Oktay, Işil Günhan-Bilgen
Rok vydání: 2006
Předmět:
Zdroj: European Journal of Radiology. 60:418-424
ISSN: 0720-048X
DOI: 10.1016/j.ejrad.2006.06.011
Popis: Purpose To determine and quantitate radiologic characteristics of tubulolobular carcinoma of the breast and to report clinical and pathologic findings. Materials and methods A retrospective review of records of 2872 women who received a diagnosis of breast carcinoma between January 1988 and January 2006 revealed 26 histopathologically proven tubulolobular carcinoma of the breast. Analysis included history; findings at physical examination, mammography, and sonography (US) at the time of diagnosis and in postoperative follow-up, and histopathological results. Results At physical examination, palpable mass was present in 85% ( n =22) of the patients. The mammographic findings were mass in 17 (65%), asymmetric focal density in 2 (8%), architectural distortion in 2 (8%) and negative mammograms in 5 (19%) of the 26 patients. US depicted 25 masses in 24 patients, all of which were hypoechoic, with spiculated ( n =13) or microlobulated ( n =12) margins. The cancer was clinically occult in 12% ( n =3), mammographically occult in 19% ( n =5), and radiologically occult in 4% ( n =1) of the patients. Histologically, the mean size of the tumor was 1.7cm and 18 (69%) patients were node negative. Conclusion Tubulolobular carcinoma of the breast usually manifests clinically as a firm, immobile mass and mammographically as a spiculated or ill-defined, irregular, isodense mass without microcalcifications. Common findings on sonography include a homogeneously hypoechoic, spiculated or microlobulated mass with posterior acoustic shadowing or normal acoustic transmission. Tubulolobular carcinoma should be included in the differential diagnosis for breast masses with these imaging features.
Databáze: OpenAIRE
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