Primary breast osteosarcoma mimicking calcified fibroadenoma on screening digital breast tomosynthesis mammogram

Autor: Debbie Lee Bennett, MD, Gloria Merenda, MD, Stephanie Schnepp, MD, Mary Catherine Lowdermilk, MD
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: Radiology Case Reports, Vol 12, Iss 4, Pp 648-652 (2017)
Druh dokumentu: article
ISSN: 1930-0433
DOI: 10.1016/j.radcr.2017.06.008
Popis: Primary breast osteosarcoma is a rare malignancy, with mostly case reports in the literature. The appearance of breast osteosarcoma on digital breast tomosynthesis imaging has not yet been described. A 69-year-old woman presents for routine screening mammography and is found to have a calcified mass in her right breast. Pattern of calcification appeared “sunburst” on digital breast tomosynthesis images. This mass was larger than on the previous year's mammogram, at which time it had been interpreted as a benign calcified fibroadenoma. The subsequent workup demonstrated the mass to reflect primary breast osteosarcoma. The patient's workup and treatment are detailed in this case. Primary breast osteosarcoma, although rare, should be included as a diagnostic consideration for breast masses with a sunburst pattern of calcifications, particularly when the mammographic appearance has changed.
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