Imaging modalities used in mammary fibromatosis

Mammary fibromatosis is a rare neoplastic proliferation of fibroblastic cells. Usually seen in abdominal and extra-abdominal sites, it is rarely seen in the breast. Patients with mammary fibromatosis usually present with a firm palpable mass with or without dimpling and skin retraction–often mimicki...

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Main Authors: Avinash Deshwal, MBBCh BAO, Tessa Walton, MBChB, Manvydas Varzgalis, MD, MCh, FEBS, Katherine McGowan, MBBCh, FFR RCSI, Gerard O'Dowd, MBBCh
Format: Article
Language:English
Published: Elsevier 2023-05-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043323001309
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author Avinash Deshwal, MBBCh BAO
Tessa Walton, MBChB
Manvydas Varzgalis, MD, MCh, FEBS
Katherine McGowan, MBBCh, FFR RCSI
Gerard O'Dowd, MBBCh
author_facet Avinash Deshwal, MBBCh BAO
Tessa Walton, MBChB
Manvydas Varzgalis, MD, MCh, FEBS
Katherine McGowan, MBBCh, FFR RCSI
Gerard O'Dowd, MBBCh
author_sort Avinash Deshwal, MBBCh BAO
collection DOAJ
description Mammary fibromatosis is a rare neoplastic proliferation of fibroblastic cells. Usually seen in abdominal and extra-abdominal sites, it is rarely seen in the breast. Patients with mammary fibromatosis usually present with a firm palpable mass with or without dimpling and skin retraction–often mimicking breast carcinoma. Here, we present a case of mammary fibromatosis in a 49-year-old woman who presented with a palpable lump in her right breast. Mammography tomosynthesis revealed architectural distortion which was seen on ultrasonography as a hypoechoic area. The patient underwent a wire-guided excision where the histology of this specimen showed irregular spindle cell proliferation with hemosiderin deposition, confirming mammary fibromatosis. Further re-excision of margins revealed no evidence of residual fibromatosis, and the patient underwent subsequent surveillance mammograms to ensure there was no recurrence.
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spelling doaj.art-329ac9a921fb4f10a9783bcbc46ef8032023-04-01T08:46:25ZengElsevierRadiology Case Reports1930-04332023-05-0118519491953Imaging modalities used in mammary fibromatosisAvinash Deshwal, MBBCh BAO0Tessa Walton, MBChB1Manvydas Varzgalis, MD, MCh, FEBS2Katherine McGowan, MBBCh, FFR RCSI3Gerard O'Dowd, MBBCh4Corresponding author.; Department of Breast Surgery, Letterkenny University Hospital, County Donegal, Republic of IrelandDepartment of Breast Surgery, Letterkenny University Hospital, County Donegal, Republic of IrelandDepartment of Breast Surgery, Letterkenny University Hospital, County Donegal, Republic of IrelandDepartment of Breast Surgery, Letterkenny University Hospital, County Donegal, Republic of IrelandDepartment of Breast Surgery, Letterkenny University Hospital, County Donegal, Republic of IrelandMammary fibromatosis is a rare neoplastic proliferation of fibroblastic cells. Usually seen in abdominal and extra-abdominal sites, it is rarely seen in the breast. Patients with mammary fibromatosis usually present with a firm palpable mass with or without dimpling and skin retraction–often mimicking breast carcinoma. Here, we present a case of mammary fibromatosis in a 49-year-old woman who presented with a palpable lump in her right breast. Mammography tomosynthesis revealed architectural distortion which was seen on ultrasonography as a hypoechoic area. The patient underwent a wire-guided excision where the histology of this specimen showed irregular spindle cell proliferation with hemosiderin deposition, confirming mammary fibromatosis. Further re-excision of margins revealed no evidence of residual fibromatosis, and the patient underwent subsequent surveillance mammograms to ensure there was no recurrence.http://www.sciencedirect.com/science/article/pii/S1930043323001309Extra-abdominal fibromatosisMammary fibromatosisDesmoid tumorSpindle cell tumor
spellingShingle Avinash Deshwal, MBBCh BAO
Tessa Walton, MBChB
Manvydas Varzgalis, MD, MCh, FEBS
Katherine McGowan, MBBCh, FFR RCSI
Gerard O'Dowd, MBBCh
Imaging modalities used in mammary fibromatosis
Radiology Case Reports
Extra-abdominal fibromatosis
Mammary fibromatosis
Desmoid tumor
Spindle cell tumor
title Imaging modalities used in mammary fibromatosis
title_full Imaging modalities used in mammary fibromatosis
title_fullStr Imaging modalities used in mammary fibromatosis
title_full_unstemmed Imaging modalities used in mammary fibromatosis
title_short Imaging modalities used in mammary fibromatosis
title_sort imaging modalities used in mammary fibromatosis
topic Extra-abdominal fibromatosis
Mammary fibromatosis
Desmoid tumor
Spindle cell tumor
url http://www.sciencedirect.com/science/article/pii/S1930043323001309
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