Siqi Wang1, Jianjuan Lou1. 1. Radiology Department, The First Affiliated Hospital with Nanjing Medical University, Nanjing, China.
Abstract
BACKGROUND: With the increasing use of image-guided biopsy, more breast intraductal papillomas are found than ever. Most intraductal papillomas are small, ranging from several milimeters to 2 cm. CASE: We described a case of giant intraductal papilloma of breast in a 19-year-old girl with nipple bloody discharge and rapid growth. Magnetic resonance imaging diagnostic evaluation and pathologic correlation along with review of relevant literatures are documented. The lesion was characterized by presence of mixture of cystic and solid component with cystic component occupying a large space. The solid component showed morphologic, kinetic, and diffusion weighted imaging features suggestive of malignancy. Infarction with no enhancement was noted. Cystic compartments contained hemorrhage with fluid-fluid level formation. The patient undertook lumpectomy. CONCLUSION: For a giant breast tumor with mixed solid and cystic component, intraductal papilloma should be considered in the differential diagnosis.
BACKGROUND: With the increasing use of image-guided biopsy, more breast intraductal papillomas are found than ever. Most intraductal papillomas are small, ranging from several milimeters to 2 cm. CASE: We described a case of giant intraductal papilloma of breast in a 19-year-old girl with nipple bloody discharge and rapid growth. Magnetic resonance imaging diagnostic evaluation and pathologic correlation along with review of relevant literatures are documented. The lesion was characterized by presence of mixture of cystic and solid component with cystic component occupying a large space. The solid component showed morphologic, kinetic, and diffusion weighted imaging features suggestive of malignancy. Infarction with no enhancement was noted. Cystic compartments contained hemorrhage with fluid-fluid level formation. The patient undertook lumpectomy. CONCLUSION: For a giant breast tumor with mixed solid and cystic component, intraductal papilloma should be considered in the differential diagnosis.
Authors: Daniel Shouhed; Farin F Amersi; Ryan Spurrier; Catherine Dang; Kristine Astvatsaturyan; Shika Bose; Edward Phillips Journal: Am Surg Date: 2012-10 Impact factor: 0.688
Authors: Sandra B Brennan; Adriana Corben; Laura Liberman; D David Dershaw; Edi Brogi; Kimberly J Van Zee; Elizabeth Morris Journal: AJR Am J Roentgenol Date: 2012-10 Impact factor: 3.959