A Rare Case of Primary Breast Osteosarcoma Evaluated with Multiple Modalities

Primary breast osteosarcoma (PBO) is very rare. This report presents a case of POB that was evaluated by multiple modalities. A woman in her 70s presented with a mass of increasing size in her right breast. A mammogram and an ultrasound visualized a lobulated mass containing coarse calcification in...

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Main Authors: Tomoyuki Fujioka, Mio Mori, Iichiroh Onishi, Yuka Yashima, Emi Yamaga, Jun Oyama, Kota Yokoyama, Kazunori Kubota, Goshi Oda, Tsuyoshi Nakagawa, Ukihide Tateishi
Format: Article
Language:English
Published: MDPI AG 2021-06-01
Series:Diagnostics
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Online Access:https://www.mdpi.com/2075-4418/11/7/1170
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author Tomoyuki Fujioka
Mio Mori
Iichiroh Onishi
Yuka Yashima
Emi Yamaga
Jun Oyama
Kota Yokoyama
Kazunori Kubota
Goshi Oda
Tsuyoshi Nakagawa
Ukihide Tateishi
author_facet Tomoyuki Fujioka
Mio Mori
Iichiroh Onishi
Yuka Yashima
Emi Yamaga
Jun Oyama
Kota Yokoyama
Kazunori Kubota
Goshi Oda
Tsuyoshi Nakagawa
Ukihide Tateishi
author_sort Tomoyuki Fujioka
collection DOAJ
description Primary breast osteosarcoma (PBO) is very rare. This report presents a case of POB that was evaluated by multiple modalities. A woman in her 70s presented with a mass of increasing size in her right breast. A mammogram and an ultrasound visualized a lobulated mass containing coarse calcification in the right breast. Magnetic resonance imaging showed a strong enhancement effect and high signal on diffusion-weighted imaging. Further imaging on 18F-fluorodeoxyglucose positron-emission tomography and computed tomography exhibited a high uptake. A right total mastectomy was performed. Histologic examination revealed abundant periosteal formation, areas of calcification and moderately pleomorphic oval to spindle-shaped stromal cells, leading to the diagnosis of PBO. The presence of calcified breast tumors exhibiting aggressive growth indicates that PBO should be added to the differential diagnosis.
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spelling doaj.art-33e1c369788b4e1ba4a42bd7a0cd85902023-12-03T13:12:48ZengMDPI AGDiagnostics2075-44182021-06-01117117010.3390/diagnostics11071170A Rare Case of Primary Breast Osteosarcoma Evaluated with Multiple ModalitiesTomoyuki Fujioka0Mio Mori1Iichiroh Onishi2Yuka Yashima3Emi Yamaga4Jun Oyama5Kota Yokoyama6Kazunori Kubota7Goshi Oda8Tsuyoshi Nakagawa9Ukihide Tateishi10Department of Diagnostic Radiology, Tokyo Medical and Dental University, Tokyo 113-8510, JapanDepartment of Diagnostic Radiology, Tokyo Medical and Dental University, Tokyo 113-8510, JapanDepartment of Diagnostic Pathology, Tokyo Medical and Dental University, Tokyo 113-8510, JapanDepartment of Diagnostic Radiology, Tokyo Medical and Dental University, Tokyo 113-8510, JapanDepartment of Diagnostic Radiology, Tokyo Medical and Dental University, Tokyo 113-8510, JapanDepartment of Diagnostic Radiology, Tokyo Medical and Dental University, Tokyo 113-8510, JapanDepartment of Diagnostic Radiology, Tokyo Medical and Dental University, Tokyo 113-8510, JapanDepartment of Radiology, Dokkyo Medical University Saitama Medical Center, Saitama 343-8555, JapanDepartment of Surgery, Breast Surgery, Tokyo Medical and Dental University, Tokyo 113-8510, JapanDepartment of Surgery, Breast Surgery, Tokyo Medical and Dental University, Tokyo 113-8510, JapanDepartment of Diagnostic Radiology, Tokyo Medical and Dental University, Tokyo 113-8510, JapanPrimary breast osteosarcoma (PBO) is very rare. This report presents a case of POB that was evaluated by multiple modalities. A woman in her 70s presented with a mass of increasing size in her right breast. A mammogram and an ultrasound visualized a lobulated mass containing coarse calcification in the right breast. Magnetic resonance imaging showed a strong enhancement effect and high signal on diffusion-weighted imaging. Further imaging on 18F-fluorodeoxyglucose positron-emission tomography and computed tomography exhibited a high uptake. A right total mastectomy was performed. Histologic examination revealed abundant periosteal formation, areas of calcification and moderately pleomorphic oval to spindle-shaped stromal cells, leading to the diagnosis of PBO. The presence of calcified breast tumors exhibiting aggressive growth indicates that PBO should be added to the differential diagnosis.https://www.mdpi.com/2075-4418/11/7/117018F-fluorodeoxyglucose positron-emission tomographymagnetic resonance imagingmammographyprimary breast osteosarcomaultrasound
spellingShingle Tomoyuki Fujioka
Mio Mori
Iichiroh Onishi
Yuka Yashima
Emi Yamaga
Jun Oyama
Kota Yokoyama
Kazunori Kubota
Goshi Oda
Tsuyoshi Nakagawa
Ukihide Tateishi
A Rare Case of Primary Breast Osteosarcoma Evaluated with Multiple Modalities
Diagnostics
18F-fluorodeoxyglucose positron-emission tomography
magnetic resonance imaging
mammography
primary breast osteosarcoma
ultrasound
title A Rare Case of Primary Breast Osteosarcoma Evaluated with Multiple Modalities
title_full A Rare Case of Primary Breast Osteosarcoma Evaluated with Multiple Modalities
title_fullStr A Rare Case of Primary Breast Osteosarcoma Evaluated with Multiple Modalities
title_full_unstemmed A Rare Case of Primary Breast Osteosarcoma Evaluated with Multiple Modalities
title_short A Rare Case of Primary Breast Osteosarcoma Evaluated with Multiple Modalities
title_sort rare case of primary breast osteosarcoma evaluated with multiple modalities
topic 18F-fluorodeoxyglucose positron-emission tomography
magnetic resonance imaging
mammography
primary breast osteosarcoma
ultrasound
url https://www.mdpi.com/2075-4418/11/7/1170
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