Non-enhancing malignant lesions of the breast: A case report and review of literature

Due to the elusive nature of invasive lobular carcinoma, mammography, ultrasound, and magnetic resonance imaging have their limitations in early detection.A 67-year-old woman presented for mammography and found retraction of breast parenchyma of the right breast. Magnetic resonance imaging and contr...

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Main Authors: Petra Valkovic Zujic, Tereza Solocki-Matic, Kristina Klaric, Manuela Avirovic
Format: Article
Language:English
Published: Elsevier 2023-03-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S240584402301705X
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author Petra Valkovic Zujic
Tereza Solocki-Matic
Kristina Klaric
Manuela Avirovic
author_facet Petra Valkovic Zujic
Tereza Solocki-Matic
Kristina Klaric
Manuela Avirovic
author_sort Petra Valkovic Zujic
collection DOAJ
description Due to the elusive nature of invasive lobular carcinoma, mammography, ultrasound, and magnetic resonance imaging have their limitations in early detection.A 67-year-old woman presented for mammography and found retraction of breast parenchyma of the right breast. Magnetic resonance imaging and contrast mammography showed no contrast uptake in the region in question.Magnetic resonance imaging and ultrasound were found to be superior for the detection of invasive lobular carcinoma, with a sensitivity of more than 90%. On ultrasound examination, invasive lobular carcinoma may occur only with posterior acoustic shadowing. On breast magnetic resonance imaging, it is commonly described as an irregular mass and less commonly as non-mass enhancement. An additional advantage of magnetic resonance imaging is the higher detection rate of multifocal, multicentric, and contralateral breast lesions.The reason for no contrast enhancement in this particular tumor before neoadjuvant chemotherapy followed by enhancement after neoadjuvant chemotherapy is most likely at the molecular and histologic level and requires further investigation in similar cases.
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spelling doaj.art-a2403a97af9a477ca7e55236de0adc562023-04-05T08:25:58ZengElsevierHeliyon2405-84402023-03-0193e14498Non-enhancing malignant lesions of the breast: A case report and review of literaturePetra Valkovic Zujic0Tereza Solocki-Matic1Kristina Klaric2Manuela Avirovic3Department of Radiology, Clinical Hospital Center Rijeka, Croatia; Faculty of Medicine, University of Rijeka, Rijeka 51000, Croatia; Corresponding author. Clinical Hospital Center Rijeka and Faculty of Medicine, University of Rijeka, Rijeka 51000, Croatia.Department of Radiology, County General Hospital Nasice, CroatiaDepartment of Radiology, General Hospital Pula, CroatiaDepartment of Pathology, Clinical Hospital Center Rijeka, Croatia; Faculty of Medicine, University of Rijeka, Rijeka 51000, CroatiaDue to the elusive nature of invasive lobular carcinoma, mammography, ultrasound, and magnetic resonance imaging have their limitations in early detection.A 67-year-old woman presented for mammography and found retraction of breast parenchyma of the right breast. Magnetic resonance imaging and contrast mammography showed no contrast uptake in the region in question.Magnetic resonance imaging and ultrasound were found to be superior for the detection of invasive lobular carcinoma, with a sensitivity of more than 90%. On ultrasound examination, invasive lobular carcinoma may occur only with posterior acoustic shadowing. On breast magnetic resonance imaging, it is commonly described as an irregular mass and less commonly as non-mass enhancement. An additional advantage of magnetic resonance imaging is the higher detection rate of multifocal, multicentric, and contralateral breast lesions.The reason for no contrast enhancement in this particular tumor before neoadjuvant chemotherapy followed by enhancement after neoadjuvant chemotherapy is most likely at the molecular and histologic level and requires further investigation in similar cases.http://www.sciencedirect.com/science/article/pii/S240584402301705XBreast neoplasmsCarcinomaLobularMammographyMagnetic resonance imaging
spellingShingle Petra Valkovic Zujic
Tereza Solocki-Matic
Kristina Klaric
Manuela Avirovic
Non-enhancing malignant lesions of the breast: A case report and review of literature
Heliyon
Breast neoplasms
Carcinoma
Lobular
Mammography
Magnetic resonance imaging
title Non-enhancing malignant lesions of the breast: A case report and review of literature
title_full Non-enhancing malignant lesions of the breast: A case report and review of literature
title_fullStr Non-enhancing malignant lesions of the breast: A case report and review of literature
title_full_unstemmed Non-enhancing malignant lesions of the breast: A case report and review of literature
title_short Non-enhancing malignant lesions of the breast: A case report and review of literature
title_sort non enhancing malignant lesions of the breast a case report and review of literature
topic Breast neoplasms
Carcinoma
Lobular
Mammography
Magnetic resonance imaging
url http://www.sciencedirect.com/science/article/pii/S240584402301705X
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AT terezasolockimatic nonenhancingmalignantlesionsofthebreastacasereportandreviewofliterature
AT kristinaklaric nonenhancingmalignantlesionsofthebreastacasereportandreviewofliterature
AT manuelaavirovic nonenhancingmalignantlesionsofthebreastacasereportandreviewofliterature