1
|
Safdari A, Sage L, Singh M, Green L. Epithelioid myofibroblastoma with concurrent presentation of LCIS and DCIS. Radiol Case Rep 2023; 18:2081-2089. [PMID: 37089964 PMCID: PMC10113785 DOI: 10.1016/j.radcr.2023.03.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2022] [Revised: 02/25/2023] [Accepted: 03/01/2023] [Indexed: 04/25/2023] Open
Abstract
Myofibroblastoma (MFB) of the breast is a rare benign neoplasm of the mammary stroma. Several morphologic variants have been described in the literature, which can create diagnostic challenges for pathologists, in particular the epithelioid variant of MFB, which can mimic invasive lobular carcinoma. We report a case of a 72-year-old female who presented for a painless breast lump and was later found to have 2 lesions on imaging, with 1 lesion corresponding to the palpable lump and the other lying in a different quadrant. Core-needle biopsies demonstrated ductal carcinoma in-situ at both lesional sites with what was originally felt to be an invasive lobular carcinoma at the lesional site which did not correspond to the palpable lump. After mastectomy, with more complete visualization microscopically of the lesional area originally felt to be an invasive lobular carcinoma, the final pathology was consistent with a MFB, predominantly epithelioid variant, in addition to ductal carcinoma in-situ and lobular carcinoma in-situ. In this paper we describe the imaging findings of an epithelioid MFB and how its nonspecific nature necessitates close communication between the radiologist and pathologist to make the correct diagnosis.
Collapse
Affiliation(s)
- Amer Safdari
- University of Illinois at Chicago College of Medicine, 1835 W Polk St, Chicago, IL 60612, USA
- Corresponding author.
| | - Lucas Sage
- Department of Radiology, University of Illinois Hospital and Health Sciences, 1740 W Taylor St 2600, Chicago, IL 60642, USA
| | - Manmeet Singh
- Department of Pathology, University of Illinois Hospital and Health Sciences, 1740 W Taylor St 2600, Chicago, IL 60642, USA
| | - Lauren Green
- Department of Radiology, University of Illinois Hospital and Health Sciences, 1740 W Taylor St 2600, Chicago, IL 60642, USA
| |
Collapse
|
2
|
Fatani JA, Alotaibi O, Jacob M, Terro K, Alhajri K. Mammary Myofibroblastoma in a Male: A Case Report and Review of the Literature. Cureus 2023; 15:e35335. [PMID: 36974228 PMCID: PMC10039315 DOI: 10.7759/cureus.35335] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/22/2023] [Indexed: 02/25/2023] Open
Abstract
Mammary myofibroblastoma is a rare benign tumor. It is mainly seen in older men and postmenopausal women. These tumors can be presented with a palpable mass or can be discovered incidentally on routine screening. A 76-year-old male presented with a palpable breast mass that was increasing in size. The patient underwent wide local excision with no postoperative complications. The pathology finding was consistent with myofibroblastoma. Myofibroblastoma is a rare tumor and should be considered one of the differential diagnoses in breast lumps.
Collapse
|
3
|
Laasri K, Marrakchi S, Halfi IM, Boujida I, Jerguigue H, Omor Y, El khannoussi B, Latib R. Male breast myofibroblastoma: Imaging features and ultrasound-guided core biopsy diagnosis. Radiol Case Rep 2022; 18:830-834. [PMID: 36582752 PMCID: PMC9793176 DOI: 10.1016/j.radcr.2022.11.029] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2022] [Revised: 11/05/2022] [Accepted: 11/11/2022] [Indexed: 12/24/2022] Open
Abstract
Mammary myofibroblastoma is a rare mesenchymal neoplasm that typically presents in older men and women. Less commonly, these benign tumors may also occur in soft tissues located outside of the breast, in which case they are referred to as mammary-type myofibroblastomas. The histologic composition of this benign spindle cell tumor can be markedly varied. We present one such case of myofibroblastoma of the male breast, describing its sonographic appearance and its diagnosis using ultrasound-guided core biopsy.
Collapse
Affiliation(s)
- Khadija Laasri
- Radiology Department, National insistute of Oncology, Ibn Sina Hospital, Mohammed V University, Rabat, Morocco,Corresponding author.
| | - Salma Marrakchi
- Radiology Department, National insistute of Oncology, Ibn Sina Hospital, Mohammed V University, Rabat, Morocco
| | - Ismail Mohamed Halfi
- Radiology Department, National insistute of Oncology, Ibn Sina Hospital, Mohammed V University, Rabat, Morocco
| | - Ismail Boujida
- Anatomo-Pathology Department, National Institute of Oncology, Ibn Sina Hospital, Mohammed V University, Rabat, Morocco
| | - Hounayda Jerguigue
- Radiology Department, National insistute of Oncology, Ibn Sina Hospital, Mohammed V University, Rabat, Morocco
| | - Youssef Omor
- Radiology Department, National insistute of Oncology, Ibn Sina Hospital, Mohammed V University, Rabat, Morocco
| | - Basma El khannoussi
- Anatomo-Pathology Department, National Institute of Oncology, Ibn Sina Hospital, Mohammed V University, Rabat, Morocco
| | - Rachida Latib
- Radiology Department, National insistute of Oncology, Ibn Sina Hospital, Mohammed V University, Rabat, Morocco
| |
Collapse
|
4
|
Osment AE, Roethling C, Jordan SG, Kuzmiak CM. A rare case of myofibroblastoma in an older male. Radiol Case Rep 2022; 17:4431-4434. [PMID: 36188075 PMCID: PMC9520492 DOI: 10.1016/j.radcr.2022.08.087] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2022] [Revised: 08/19/2022] [Accepted: 08/23/2022] [Indexed: 12/02/2022] Open
Abstract
Myofibroblastoma is a rare benign breast stromal tumor comprised of fibroblasts and myofibroblasts, most commonly presenting in postmenopausal women and older men. This report discusses the case of a 69-year-old male diagnosed with myofibroblastoma after mammography, targeted ultrasound, and core needle biopsy of a retroareolar mass. The features of myofibroblastoma are presented.
Collapse
Affiliation(s)
- Anna E. Osment
- University of North Carolina School of Medicine, 321 South Columbia Street, Chapel Hill, NC 27599, USA
| | - Charles Roethling
- University of North Carolina School of Medicine, 321 South Columbia Street, Chapel Hill, NC 27599, USA
| | - Sheryl G. Jordan
- University of North Carolina School of Medicine, 321 South Columbia Street, Chapel Hill, NC 27599, USA
| | - Cherie M. Kuzmiak
- University of North Carolina School of Medicine, 321 South Columbia Street, Chapel Hill, NC 27599, USA
| |
Collapse
|
5
|
Sun X, Sui X, Liu Y, Zhang H, Wang Y, Tang X, Liang P. Imaging Findings of Mammary Myofibroblastoma: A Rare Fat-Containing Entity. Ultrasound Q 2021; 37:52-55. [PMID: 33661798 DOI: 10.1097/ruq.0000000000000539] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
ABSTRACT Mammary myofibroblastoma (MFB) is a rare benign stromal neoplasm; its imaging features are rarely reported and nonspecific. We retrospectively analyzed a case of pathologically proved breast MFB that revealed indistinct high-density mass in mammography and hypoechoic ill-defined breast tumor in ultrasonography. Meanwhile, hypointense appearance on T2-weighted imaging of magnetic resonance imaging and containing fat tissue might be very valuable characteristics in the differential diagnosis of breast MFB.
Collapse
Affiliation(s)
| | | | | | - Hongxia Zhang
- Department of Ultrasound, Yantaishan Hospital, Yantai, Shandong Province, China
| | - Yunqin Wang
- Department of Ultrasound, Yantaishan Hospital, Yantai, Shandong Province, China
| | | | | |
Collapse
|
6
|
Viana MP, Tucunduva TCDM, Torres US, Aguillar VLN, Bresciani BH, Shimizu C, Chala LF, Barros ND, Mello GGND. Imaging of male breast disease: the good, the bad and the ugly - A pictorial review. Clin Imaging 2020; 68:45-56. [PMID: 32570009 DOI: 10.1016/j.clinimag.2020.06.025] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2020] [Revised: 06/12/2020] [Accepted: 06/16/2020] [Indexed: 10/24/2022]
Abstract
The male breast is affected by a broad spectrum of conditions, ranging from benign to malignant, many of which are similar to those occurring in its female counterpart. Despite the challenge motivated by different imaging characteristic features, correct imaging interpretation in male breast disease may aid at differentiation between benign and suspected conditions, narrow the differential diagnosis and guide subsequent management. The purpose of this review is to showcase a wide array of male breast diseases, discuss their imaging presentations and key features for diagnosis.
Collapse
Affiliation(s)
- Marcela Pacheco Viana
- Grupo Fleury, São Paulo, Brazil; Hospital São Paulo, Universidade Federal de São Paulo, São Paulo, Brazil
| | - Tatiana Cardoso de Mello Tucunduva
- Grupo Fleury, São Paulo, Brazil; Instituto do Câncer de São Paulo (ICESP), São Paulo, Brazil; Instituto de Radiologia do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil
| | | | | | - Bárbara Helou Bresciani
- Grupo Fleury, São Paulo, Brazil; Instituto do Câncer de São Paulo (ICESP), São Paulo, Brazil; Instituto de Radiologia do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil
| | - Carlos Shimizu
- Grupo Fleury, São Paulo, Brazil; Instituto do Câncer de São Paulo (ICESP), São Paulo, Brazil; Instituto de Radiologia do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil
| | | | - Nestor de Barros
- Grupo Fleury, São Paulo, Brazil; Instituto do Câncer de São Paulo (ICESP), São Paulo, Brazil
| | | |
Collapse
|
7
|
Jung HK, Son JH, Kim WG. Myofibroblastoma of the breast in postmenopausal women: Two case reports with imaging findings and review of the literature. JOURNAL OF CLINICAL ULTRASOUND : JCU 2020; 48:279-282. [PMID: 32030771 DOI: 10.1002/jcu.22818] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/01/2019] [Revised: 12/14/2019] [Accepted: 01/20/2020] [Indexed: 06/10/2023]
Abstract
Myofibroblastoma is a rare benign mesenchymal tumor of the breast, which tends to affect postmenopausal women and older men. It usually presents as a unilateral, well-circumscribed, firm, nontender, and freely mobile mass. We report two cases of myofibroblastoma in postmenopausal women with the imaging findings of mammography, ultrasonography, computed tomography, 18 F-Fluorodeoxyglucose-positron emission tomography computed tomography, and pathologic findings and review the relevant literature.
Collapse
Affiliation(s)
- Hyun K Jung
- Department of Diagnostic Radiology, Inje University Haeundae Paik Hospital, Busan, Republic of Korea
| | - Jung H Son
- Department of Diagnostic Radiology, Inje University Haeundae Paik Hospital, Busan, Republic of Korea
| | - Woo G Kim
- Department of Pathology, Inje University Haeundae Paik Hospital, Busan, Republic of Korea
| |
Collapse
|
8
|
Breast myofibroblastoma: Report of two cases with literature review. JOURNAL OF SURGERY AND MEDICINE 2020. [DOI: 10.28982/josam.568688] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
|
9
|
Venturelli M, Toss A, Cortesi L, Gambini A, Andreotti A, Cascinu S, Tazzioli G, Moscetti L. Male mammary myofibroblastoma: Two case reports and brief review of literature. Mol Clin Oncol 2020; 13:33-37. [PMID: 32454973 PMCID: PMC7241234 DOI: 10.3892/mco.2020.2038] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2019] [Accepted: 02/04/2020] [Indexed: 11/16/2022] Open
Abstract
Myofibroblastoma of the breast is a rare benign stromal tumor that occurs in both sexes with a higher prevalence in male breast of older populations. Furthermore, myofibroblastoma can arise in extra mammary sites, along the milk-line. A variety of morphological variants in addition to the classic type have been identified. The differential diagnosis includes both benign and malignant entities that, through the use of clinical and radiological imaging, is difficult to characterize. Histopathological examination and immunohistochemistry are fundamental in the establishment of appropriate management of the disease and avoidance of overtreatment. The present study focuses on two cases of male mammary myofibroblastoma, with a short literature review.
Collapse
Affiliation(s)
- Marta Venturelli
- Department of Oncology and Hematology, University Hospital of Modena, I-41124 Modena, Italy
| | - Angela Toss
- Department of Oncology and Hematology, University Hospital of Modena, I-41124 Modena, Italy
| | - Laura Cortesi
- Department of Oncology and Hematology, University Hospital of Modena, I-41124 Modena, Italy
| | - Anna Gambini
- Oncologic Breast Surgery Unit, University Hospital of Modena, I-41124 Modena, Italy
| | - Alessia Andreotti
- Oncologic Breast Surgery Unit, University Hospital of Modena, I-41124 Modena, Italy
| | - Stefano Cascinu
- Department of Oncology and Hematology, University Hospital of Modena, I-41124 Modena, Italy
| | - Giovanni Tazzioli
- Oncologic Breast Surgery Unit, University Hospital of Modena, I-41124 Modena, Italy
| | - Luca Moscetti
- Department of Oncology and Hematology, University Hospital of Modena, I-41124 Modena, Italy
| |
Collapse
|
10
|
First Vacuum-Assisted Excision of a Breast Myofibroblastoma. Case Rep Surg 2019; 2019:5242191. [PMID: 31827968 PMCID: PMC6885259 DOI: 10.1155/2019/5242191] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2019] [Revised: 10/08/2019] [Accepted: 10/21/2019] [Indexed: 11/24/2022] Open
Abstract
A 52-year-old lady was seen in the breast clinic after an 8 mm lesion was found in her left breast on screening mammogram. Clinical examination was normal. The left breast mammogram showed an 8 mm rounded density posteriorly in the inner half of breast and ultrasound also showed a 7 mm, well-defined ovoid echogenic lesion (R3, U3). Biopsy confirmed the lesion was fibro-fatty tissue containing a diffuse infiltrate of lymphoid cells macroscopically (B3/4)—findings in line with a diagnosis of a myofibroblastoma. A myofibroblastoma is a rare benign mesenchymal tumour comprising of spindle cells. Most breast myofibroblastomas described in the literature have been excised by wide local excision. In this patient's case, a vacuum-assisted technique was discussed and suggested at the multidisciplinary meeting. It was excised using ultrasound-guided Vacora® breast biopsy system. The lesion was completely excised with the encore biopsy measuring 24 × 17 mm. This is the first documented case of such a technique for the excision of a breast myofibroblastoma. There still is uncertainty about breast myofibroblastomas, their aetiology, associations, and how they are best investigated. Regarding management, vacuum-assisted technique, being less invasive and cheaper than local excisions, is adequate for small lesions.
Collapse
|
11
|
Akrami M, Ebrahimian S, Safaei A, Tabrizi Z, Ebrahimian S. A case report of a mammary myofibroblastoma in a male and literature review of radiologic and pathologic features of breast myofibroblastoma. Clin Case Rep 2019; 7:1968-1971. [PMID: 31624619 PMCID: PMC6787849 DOI: 10.1002/ccr3.2413] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2019] [Revised: 07/30/2019] [Accepted: 08/11/2019] [Indexed: 01/10/2023] Open
Abstract
We reported a 65-year-old male with a benign mammary myofibroblastoma. This report shows that not all masses of male breast are malignant. To differentiate benign masses from malignant neoplasms, careful preoperative diagnosis should be performed. Preoperative diagnosis of the tumor prevents placing a huge financial and mental burdens on patients.
Collapse
Affiliation(s)
- Majid Akrami
- Breast Diseases Research CenterShiraz University of Medical SciencesShirazIran
| | - Saba Ebrahimian
- Department of SurgeryLorestan university of Medical SciencesLorestanIran
| | - Akbar Safaei
- Department of PathologyShiraz University of Medical SciencesShirazIran
| | - Zhale Tabrizi
- Department of RadiologyIsfahan University of Medical SciencesIsfahanIran
| | - Shadi Ebrahimian
- Department of RadiologyIsfahan University of Medical SciencesIsfahanIran
| |
Collapse
|
12
|
Lee EJ, Chang YW, Jin YM, Kim NW. Multimodality images of myofibroblastoma in the male breast: A case report and a review of the literature. Clin Imaging 2018; 51:300-306. [PMID: 29945056 DOI: 10.1016/j.clinimag.2018.06.004] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2018] [Revised: 06/01/2018] [Accepted: 06/06/2018] [Indexed: 12/29/2022]
Abstract
We report a case of a 58-year-old male diagnosed with myofibroblastoma using mammography, ultrasound, computed tomography (CT) and magnetic resonance imaging (MRI), as well as present a review of the literature. The pathological diagnosis was myofibroblastoma with spindle cell neoplasm with immunoreactivity. Myofibroblastoma is a rare benign disease and there is a lack of reports of multimodality imaging of this disease. We review the imaging features of this rare disease across multiple imaging modalities with pathological correlation, and provide current treatment recommendations as well.
Collapse
Affiliation(s)
- Eun Ji Lee
- Department of Radiology, Soonchunhyang University Hospital, 59 Daesakwan-ro, Yongsan-ku, Seoul 04401, Republic of Korea
| | - Yun-Woo Chang
- Department of Radiology, Soonchunhyang University Hospital, 59 Daesakwan-ro, Yongsan-ku, Seoul 04401, Republic of Korea.
| | - Yoon Mi Jin
- Department of Pathology, Soonchunhyang University Hospital, 59 Daesakwan-ro, Yongsan-ku, Seoul 04401, Republic of Korea
| | - Nam Won Kim
- Surgery, Soonchunhyang University Hospital, 59 Daesakwan-ro, Yongsan-ku, Seoul 04401, Republic of Korea
| |
Collapse
|