Primary breast osteosarcoma mimicking calcified fibroadenoma on screening digital breast tomosynthesis mammogram

Primary breast osteosarcoma is a rare malignancy, with mostly case reports in the literature. The appearance of breast osteosarcoma on digital breast tomosynthesis imaging has not yet been described. A 69-year-old woman presents for routine screening mammography and is found to have a calcified mass...

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Main Authors: Debbie Lee Bennett, MD, Gloria Merenda, MD, Stephanie Schnepp, MD, Mary Catherine Lowdermilk, MD
Format: Article
Language:English
Published: Elsevier 2017-12-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043317300948
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author Debbie Lee Bennett, MD
Gloria Merenda, MD
Stephanie Schnepp, MD
Mary Catherine Lowdermilk, MD
author_facet Debbie Lee Bennett, MD
Gloria Merenda, MD
Stephanie Schnepp, MD
Mary Catherine Lowdermilk, MD
author_sort Debbie Lee Bennett, MD
collection DOAJ
description Primary breast osteosarcoma is a rare malignancy, with mostly case reports in the literature. The appearance of breast osteosarcoma on digital breast tomosynthesis imaging has not yet been described. A 69-year-old woman presents for routine screening mammography and is found to have a calcified mass in her right breast. Pattern of calcification appeared “sunburst” on digital breast tomosynthesis images. This mass was larger than on the previous year's mammogram, at which time it had been interpreted as a benign calcified fibroadenoma. The subsequent workup demonstrated the mass to reflect primary breast osteosarcoma. The patient's workup and treatment are detailed in this case. Primary breast osteosarcoma, although rare, should be included as a diagnostic consideration for breast masses with a sunburst pattern of calcifications, particularly when the mammographic appearance has changed.
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spelling doaj.art-eb9a9202e4c24dd4b29c1592aad520be2022-12-22T03:04:11ZengElsevierRadiology Case Reports1930-04332017-12-0112464865210.1016/j.radcr.2017.06.008Primary breast osteosarcoma mimicking calcified fibroadenoma on screening digital breast tomosynthesis mammogramDebbie Lee Bennett, MD0Gloria Merenda, MD1Stephanie Schnepp, MD2Mary Catherine Lowdermilk, MD3Department of Radiology, St. Louis University Hospital, 3655 Vista Ave., St. Louis, MO 63110, USADepartment of Pathology, SSM St. Mary's Hospital, 6420 Clayton Rd., St. Louis, MO 63117, USADepartment of Surgery, SSM St. Mary's Hospital, 6420 Clayton Rd., St. Louis, MO 63117, USADepartment of Radiology, St. Louis University Hospital, 3655 Vista Ave., St. Louis, MO 63110, USAPrimary breast osteosarcoma is a rare malignancy, with mostly case reports in the literature. The appearance of breast osteosarcoma on digital breast tomosynthesis imaging has not yet been described. A 69-year-old woman presents for routine screening mammography and is found to have a calcified mass in her right breast. Pattern of calcification appeared “sunburst” on digital breast tomosynthesis images. This mass was larger than on the previous year's mammogram, at which time it had been interpreted as a benign calcified fibroadenoma. The subsequent workup demonstrated the mass to reflect primary breast osteosarcoma. The patient's workup and treatment are detailed in this case. Primary breast osteosarcoma, although rare, should be included as a diagnostic consideration for breast masses with a sunburst pattern of calcifications, particularly when the mammographic appearance has changed.http://www.sciencedirect.com/science/article/pii/S1930043317300948Breast cancerPrimary osteosarcomaFibroadenomaMammogramTomosynthesis
spellingShingle Debbie Lee Bennett, MD
Gloria Merenda, MD
Stephanie Schnepp, MD
Mary Catherine Lowdermilk, MD
Primary breast osteosarcoma mimicking calcified fibroadenoma on screening digital breast tomosynthesis mammogram
Radiology Case Reports
Breast cancer
Primary osteosarcoma
Fibroadenoma
Mammogram
Tomosynthesis
title Primary breast osteosarcoma mimicking calcified fibroadenoma on screening digital breast tomosynthesis mammogram
title_full Primary breast osteosarcoma mimicking calcified fibroadenoma on screening digital breast tomosynthesis mammogram
title_fullStr Primary breast osteosarcoma mimicking calcified fibroadenoma on screening digital breast tomosynthesis mammogram
title_full_unstemmed Primary breast osteosarcoma mimicking calcified fibroadenoma on screening digital breast tomosynthesis mammogram
title_short Primary breast osteosarcoma mimicking calcified fibroadenoma on screening digital breast tomosynthesis mammogram
title_sort primary breast osteosarcoma mimicking calcified fibroadenoma on screening digital breast tomosynthesis mammogram
topic Breast cancer
Primary osteosarcoma
Fibroadenoma
Mammogram
Tomosynthesis
url http://www.sciencedirect.com/science/article/pii/S1930043317300948
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