Imaging Findings of Metaplastic Carcinoma of the Breast with Pathologic Correlation

Objectives: To review the imaging findings of a series of cases of metaplastic carcinoma of the breast, a rare and aggressive form of breast cancer with variable imaging features. Materials and methods: Retrospective review of multimodality imaging features of eleven cases of metaplastic carcinoma o...

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Main Authors: Henrique Donato, Isabel Candelária, Pedro Oliveira, Manuela Gonçalo, Filipe Caseiro-Alves
Format: Article
Language:English
Published: Ubiquity Press 2018-04-01
Series:Journal of the Belgian Society of Radiology
Subjects:
Online Access:https://www.jbsr.be/articles/1386
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author Henrique Donato
Isabel Candelária
Pedro Oliveira
Manuela Gonçalo
Filipe Caseiro-Alves
author_facet Henrique Donato
Isabel Candelária
Pedro Oliveira
Manuela Gonçalo
Filipe Caseiro-Alves
author_sort Henrique Donato
collection DOAJ
description Objectives: To review the imaging findings of a series of cases of metaplastic carcinoma of the breast, a rare and aggressive form of breast cancer with variable imaging features. Materials and methods: Retrospective review of multimodality imaging features of eleven cases of metaplastic carcinoma of the breast retrieved from a single hospital institution database. Clinical and pathologic data were also documented. Results: The median age of presentation was 65 years. Four cases had axillary lymphadenopathies, and two had distant metastases. An oval mass was the most common sonographic finding (7/11; 64%). Lesions displayed circumscribed/partially circumscribed margins (6/11; 55%) or non-circumscribed margins (5/11; 45%). Most lesions had a heterogeneous echo structure (9/11; 82%) and posterior acoustic enhancement (6/11; 55%). In nine patients, mammographies were available. An oval dense mass was the most common mammographic finding (5/9; 56%). The majority of cases had non-circumscribed margins (6/9; 67%), and nearly half displayed calcifications (4/9; 44%). Conclusions: Mammographic findings were not different from the usual features of more prevalent types of breast cancer, though the majority of metaplastic carcinoma of the breast showed possible distinctive sonographic features, such as circumscribed margins or complex echogenicity, reflecting the histologic background.
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spelling doaj.art-553adfb3ecbb44438c15f5bca6daba7b2022-12-21T18:57:43ZengUbiquity PressJournal of the Belgian Society of Radiology2514-82812018-04-01102110.5334/jbsr.13861124Imaging Findings of Metaplastic Carcinoma of the Breast with Pathologic CorrelationHenrique Donato0Isabel Candelária1Pedro Oliveira2Manuela Gonçalo3Filipe Caseiro-Alves4University Centre Hospitals of Coimbra (CHUC)University Centre Hospitals of Coimbra (CHUC)University Centre Hospitals of Coimbra (CHUC)University Centre Hospitals of Coimbra (CHUC)University Centre Hospitals of Coimbra (CHUC)Objectives: To review the imaging findings of a series of cases of metaplastic carcinoma of the breast, a rare and aggressive form of breast cancer with variable imaging features. Materials and methods: Retrospective review of multimodality imaging features of eleven cases of metaplastic carcinoma of the breast retrieved from a single hospital institution database. Clinical and pathologic data were also documented. Results: The median age of presentation was 65 years. Four cases had axillary lymphadenopathies, and two had distant metastases. An oval mass was the most common sonographic finding (7/11; 64%). Lesions displayed circumscribed/partially circumscribed margins (6/11; 55%) or non-circumscribed margins (5/11; 45%). Most lesions had a heterogeneous echo structure (9/11; 82%) and posterior acoustic enhancement (6/11; 55%). In nine patients, mammographies were available. An oval dense mass was the most common mammographic finding (5/9; 56%). The majority of cases had non-circumscribed margins (6/9; 67%), and nearly half displayed calcifications (4/9; 44%). Conclusions: Mammographic findings were not different from the usual features of more prevalent types of breast cancer, though the majority of metaplastic carcinoma of the breast showed possible distinctive sonographic features, such as circumscribed margins or complex echogenicity, reflecting the histologic background.https://www.jbsr.be/articles/1386metaplastic carcinoma of the breastbreast neoplasmsmammographybreast ultrasonographymagnetic resonance imaging
spellingShingle Henrique Donato
Isabel Candelária
Pedro Oliveira
Manuela Gonçalo
Filipe Caseiro-Alves
Imaging Findings of Metaplastic Carcinoma of the Breast with Pathologic Correlation
Journal of the Belgian Society of Radiology
metaplastic carcinoma of the breast
breast neoplasms
mammography
breast ultrasonography
magnetic resonance imaging
title Imaging Findings of Metaplastic Carcinoma of the Breast with Pathologic Correlation
title_full Imaging Findings of Metaplastic Carcinoma of the Breast with Pathologic Correlation
title_fullStr Imaging Findings of Metaplastic Carcinoma of the Breast with Pathologic Correlation
title_full_unstemmed Imaging Findings of Metaplastic Carcinoma of the Breast with Pathologic Correlation
title_short Imaging Findings of Metaplastic Carcinoma of the Breast with Pathologic Correlation
title_sort imaging findings of metaplastic carcinoma of the breast with pathologic correlation
topic metaplastic carcinoma of the breast
breast neoplasms
mammography
breast ultrasonography
magnetic resonance imaging
url https://www.jbsr.be/articles/1386
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AT pedrooliveira imagingfindingsofmetaplasticcarcinomaofthebreastwithpathologiccorrelation
AT manuelagoncalo imagingfindingsofmetaplasticcarcinomaofthebreastwithpathologiccorrelation
AT filipecaseiroalves imagingfindingsofmetaplasticcarcinomaofthebreastwithpathologiccorrelation