A large epidermoid cyst of breast mimicking carcinoma: A case report and review of literature
| Autor: | Savita Taribagil, Reggie Inwang, Khalid Al-Janabi, Debasish Debnath |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_specialty
Breast cyst business.industry Breast neoplasm medicine.medical_treatment Breast lesion Epidermoid cyst Diagnostic dilemma medicine.disease Breast cysts Article Surgery Carcinoma medicine Breast reconstruction Radiology skin and connective tissue diseases business Mastectomy |
| Zdroj: | International journal of surgery case reports. 3(9) |
| ISSN: | 2210-2612 |
| Popis: | INTRODUCTIONTriple assessment of a suspicious breast lesion may not always provide a definite diagnosis. We report a case of epidermoid cyst of breast, which caused diagnostic dilemma in spite of a thorough triple assessment and entailed mastectomy.PRESENTATION OF CASEA 69-year-old woman presented with a large painful retroareolar left breast mass. Clinical examination, ultrasound and mammography were highly suspicious of malignancy. However, core biopsy suggested a benign lesion. Due to size of the lesion and diagnostic uncertainty, various options were discussed with the patient. She opted for a simple mastectomy. The histology confirmed a large epidermoid cyst.DISCUSSIONIt is rare for an epidermoid cyst to present as such an advanced lesion, mimicking carcinoma. Excision of such a large retroareolar ‘benign’ lesion, however, may sometime entail mastectomy. This is the first reported case of an epidermoid cyst of breast necessitating mastectomy.CONCLUSIONDiagnostic dilemma while dealing with a suspected breast cancer is not rare. Involvement of multidisciplinary team as well as patient is important in the decision-making. The report illustrates a rare presentation of a deep seated large epidermoid cyst of breast, which mimicked carcinoma, caused diagnostic confusion and entailed mastectomy. We strongly advocate the option of breast reconstruction in such cases. |
| Databáze: | OpenAIRE |
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