Triple-negative breast cancer arising in a fibroadenoma in BRCA 1 mutated patient

We describe the case of a 35-year-old woman who comes to our institute with a palpable lump on her left breast. Clinically the mass was mobile, nontender and with no nipple discharge. Sonography revealed a circumscribed, oval-shaped, and hypoechoic mass, suggestive of a benign lesion. We performed a...

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Bibliographic Details
Main Authors: Nicole Brunetti, Irene Valente, Francesca Pitto, Massimo Calabrese
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Journal of Medical Ultrasound
Subjects:
Online Access:http://www.jmuonline.org/article.asp?issn=0929-6441;year=2023;volume=31;issue=1;spage=63;epage=65;aulast=Brunetti
Description
Summary:We describe the case of a 35-year-old woman who comes to our institute with a palpable lump on her left breast. Clinically the mass was mobile, nontender and with no nipple discharge. Sonography revealed a circumscribed, oval-shaped, and hypoechoic mass, suggestive of a benign lesion. We performed an ultrasound-guided core needle biopsy that demonstrated multiple foci of high-grade (G3) ductal carcinoma in situ arising on fibroadenoma (FA). Subsequently, the patient had surgical excision of the mass with a final diagnosis of triple-negative breast cancer arising on FA. After diagnosis, the patient performs a genetic test that detects the BRCA 1 gene mutation. A review of the literature demonstrated only two cases of triple-negative breast cancer on FA. In this report, we describe another such case.
ISSN:0929-6441
2212-1552