关键词: breast cancer liposarcoma mammogram phyllodes tumor pleomorphic liposarcoma

来  源:   DOI:10.3390/diagnostics13142428   PDF(Pubmed)

Abstract:
Liposarcoma of the breast is a rare form of cancerous tumor that can be mistaken for primary breast cancer. A recent instance involved a woman who was 54 years old and went in for her annual screening mammogram. The mammogram revealed that she had a 1 cm focal asymmetry of equal density in her right axillary tail, approximately 9 cm from the nipple. After nine months, the patient observed a rapidly growing mass even though the initial ultrasound scan did not detect anything unusual. A targeted mammogram demonstrated a large and dense mass confined to the right axillary tail, followed by an ultrasound scan that revealed a heterogeneous hyperechoic, echogenic mass. Histopathology after surgery showed that the patient had an undifferentiated pleomorphic breast liposarcoma. This diagnosis was reached after the patient underwent surgery.Liposarcoma of the breast is a concerning condition that needs careful management and close monitoring, although it is relatively uncommon. Early detection of the patient\'s condition and prompt treatment can help improve the patient\'s prognosis. This can be accomplished by remaining vigilant with routine screenings and following up on any unusual findings or changes in breast tissue. However, it is possible to diagnose this condition as primary breast cancer incorrectly; consequently, healthcare providers need to conduct comprehensive evaluations to ensure diagnostic accuracy and the delivery of appropriate treatment.
摘要:
乳腺脂肪肉瘤是一种罕见的癌性肿瘤,可被误认为是原发性乳腺癌。最近的一个案例涉及一名54岁的妇女,她参加了年度乳房X光检查。乳房X线照片显示,她的右腋尾有1厘米的局灶性不对称,密度相等,距离乳头约9厘米。九个月后,尽管最初的超声扫描没有发现任何异常,但患者观察到肿块迅速增长。有针对性的乳房X光检查显示出一个大而致密的肿块,局限在右腋窝尾巴上,然后是超声波扫描,显示出不均匀的高回声,回声质量。手术后的组织病理学显示患者患有未分化的多形性乳腺脂肪肉瘤。该诊断是在患者接受手术后得出的。乳腺脂肪肉瘤是一种需要仔细管理和密切监测的疾病,虽然它是相对罕见的。早期发现患者病情并及时治疗有助于改善患者预后。这可以通过对常规筛查保持警惕并跟进乳腺组织的任何异常发现或变化来实现。然而,有可能将这种情况诊断为原发性乳腺癌;因此,医疗保健提供者需要进行全面评估,以确保诊断准确性和提供适当的治疗。
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