Dramatic increase in volume versus length of invasive ductal carcinoma mimicking intramammary lymph node in a small nodular lesion

Abstract Background The tumor growth pattern in breast cancer appears to be variable and unpredictable. A minor increase in size in a pre-existing lesion, especially under 1 cm, corresponds to a more pronounced increase in volume. Case presentation We report a 63-year-old woman with a nodular densit...

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Main Authors: Seda Aladag Kurt, Varol Celik
Format: Article
Language:English
Published: SpringerOpen 2022-05-01
Series:Bulletin of the National Research Centre
Subjects:
Online Access:https://doi.org/10.1186/s42269-022-00823-y
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author Seda Aladag Kurt
Varol Celik
author_facet Seda Aladag Kurt
Varol Celik
author_sort Seda Aladag Kurt
collection DOAJ
description Abstract Background The tumor growth pattern in breast cancer appears to be variable and unpredictable. A minor increase in size in a pre-existing lesion, especially under 1 cm, corresponds to a more pronounced increase in volume. Case presentation We report a 63-year-old woman with a nodular density mimicking intramammary lymph node, diagnosed as invasive carcinoma of luminal B subtype. The lesion increased size and density over time in following mammograms until having indistinct margins. While the tumor volume was 12.7 mm3 at the first observation on mammography, it has increased approximately 6.7 times to reach 85.7 mm3 in four years. Finally, the patient diagnosed with early-stage breast cancer (T1N0M0) was treated with breast-conserving surgery. Conclusions Minor changes in size, density, and margin status of a lesion on serial mammograms are warning for breast cancer. Withal, a slight increase in lesion size in two dimensions can result in significant differences in volume. Therefore, comparative evaluation with previous mammograms and observing any difference in morphological features by screening are crucial for early diagnosis and optimal management of the disease.
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spelling doaj.art-d3b62ab8efa0492bbf2638a6b4d725502022-12-22T02:11:19ZengSpringerOpenBulletin of the National Research Centre2522-83072022-05-014611510.1186/s42269-022-00823-yDramatic increase in volume versus length of invasive ductal carcinoma mimicking intramammary lymph node in a small nodular lesionSeda Aladag Kurt0Varol Celik1Department of Radiology, Cerrahpasa Faculty of Medicine, Istanbul University-CerrahpasaDepartment of General Surgery, Cerrahpasa Faculty of Medicine, Istanbul University-CerrahpasaAbstract Background The tumor growth pattern in breast cancer appears to be variable and unpredictable. A minor increase in size in a pre-existing lesion, especially under 1 cm, corresponds to a more pronounced increase in volume. Case presentation We report a 63-year-old woman with a nodular density mimicking intramammary lymph node, diagnosed as invasive carcinoma of luminal B subtype. The lesion increased size and density over time in following mammograms until having indistinct margins. While the tumor volume was 12.7 mm3 at the first observation on mammography, it has increased approximately 6.7 times to reach 85.7 mm3 in four years. Finally, the patient diagnosed with early-stage breast cancer (T1N0M0) was treated with breast-conserving surgery. Conclusions Minor changes in size, density, and margin status of a lesion on serial mammograms are warning for breast cancer. Withal, a slight increase in lesion size in two dimensions can result in significant differences in volume. Therefore, comparative evaluation with previous mammograms and observing any difference in morphological features by screening are crucial for early diagnosis and optimal management of the disease.https://doi.org/10.1186/s42269-022-00823-yBreast cancerScreeningMammographyIntramammary lymph node3D
spellingShingle Seda Aladag Kurt
Varol Celik
Dramatic increase in volume versus length of invasive ductal carcinoma mimicking intramammary lymph node in a small nodular lesion
Bulletin of the National Research Centre
Breast cancer
Screening
Mammography
Intramammary lymph node
3D
title Dramatic increase in volume versus length of invasive ductal carcinoma mimicking intramammary lymph node in a small nodular lesion
title_full Dramatic increase in volume versus length of invasive ductal carcinoma mimicking intramammary lymph node in a small nodular lesion
title_fullStr Dramatic increase in volume versus length of invasive ductal carcinoma mimicking intramammary lymph node in a small nodular lesion
title_full_unstemmed Dramatic increase in volume versus length of invasive ductal carcinoma mimicking intramammary lymph node in a small nodular lesion
title_short Dramatic increase in volume versus length of invasive ductal carcinoma mimicking intramammary lymph node in a small nodular lesion
title_sort dramatic increase in volume versus length of invasive ductal carcinoma mimicking intramammary lymph node in a small nodular lesion
topic Breast cancer
Screening
Mammography
Intramammary lymph node
3D
url https://doi.org/10.1186/s42269-022-00823-y
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AT varolcelik dramaticincreaseinvolumeversuslengthofinvasiveductalcarcinomamimickingintramammarylymphnodeinasmallnodularlesion