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Kovacs TA, Mourad SN, Dakkak A, Burger M, Edison M. Benign Adenomyoepithelioma of the Breast: A Case Report and Review of Imaging Features. Cureus 2024; 16:e58421. [PMID: 38756318 PMCID: PMC11097617 DOI: 10.7759/cureus.58421] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/13/2024] [Indexed: 05/18/2024] Open
Abstract
Adenomyoepithelioma (AME) of the breast is a rare tumor that can be benign or malignant and has varied morphological features. We report a case of a 62-year-old female with a history of right breast cancer who presented with abnormal screening mammography. The detection, presentation, and varied imaging characteristics of AMEs are discussed. The nonspecific imaging and histologic appearance of AME are highlighted, emphasizing the need for representative biopsy samples and histopathological review for diagnosis. Our case underlines the importance of wide surgical excision with negative margins in the presence of diagnostic uncertainty, which corresponds with the current recommended treatment for AME to prevent recurrence.
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Affiliation(s)
- Timea A Kovacs
- Medicine, Florida State University College of Medicine, Pensacola, USA
| | - Sophia N Mourad
- Medicine, Florida State University College of Medicine-Orlando Regional Campus, Orlando, USA
| | - Andrew Dakkak
- Diagnostic Radiology, AdventHealth Orlando, Orlando, USA
| | - Matthew Burger
- Diagnostic Radiology, AdventHealth Orlando, Orlando, USA
| | - Michele Edison
- Diagnostic Radiology, AdventHealth Orlando, Orlando, USA
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2
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Tabbaa L, Tian Y, Kumar B, Ooi C. Post-operative management of malignant adenomyoepithelioma of the breast. ANZ J Surg 2023; 93:3010-3011. [PMID: 37641233 DOI: 10.1111/ans.18676] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2023] [Revised: 08/17/2023] [Accepted: 08/20/2023] [Indexed: 08/31/2023]
Affiliation(s)
- Lena Tabbaa
- Department of Breast Surgery, Monash Health, Victoria, Australia
| | - Yuan Tian
- Department of Breast Surgery, Monash Health, Victoria, Australia
| | - Beena Kumar
- Department of Anatomical Pathology, Monash Health, Victoria, Australia
| | - Corinne Ooi
- Department of Breast Surgery, Monash Health, Victoria, Australia
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3
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Uchida M, Gatica C, Hasson D, Gallegos M, Pinochet MÁ. Breast adenomyoepithelioma from a radiologic perspective. RADIOLOGIA 2022; 64 Suppl 1:37-43. [PMID: 35428465 DOI: 10.1016/j.rxeng.2021.06.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2021] [Accepted: 06/21/2021] [Indexed: 10/18/2022]
Abstract
Adenomyoepithelioma of the breast (AB) is an uncommon tumor that is characterized by the biphasic proliferation of epithelial and myoepithelial cells. The radiologic findings for AB have been scantly reported. This paper aims to analyze the characteristic findings for AB on ultrasonography (US) and mammography. This retrospective descriptive study used the Breast Imaging-Reporting and Data System (BI-RADS) to analyze the US and mammography findings for histologically confirmed AB in patients attended at our institution between 2007 and 2019. We identified a total of 13 AB in 13 women. All patients underwent US. On US, 12 lesions were seen as oval nodules, and the remaining lesion was irregular-shaped; 8 lesions had circumscribed margins, 3 had angled margins, and 2 had microlobulated margins. Regarding the echo pattern, 8 lesions were hypoechoic and 5 were complex (solid-cystic). On color Doppler, 11 lesions were vascularized nodules and 2 were avascular nodules. In conclusion, we present the imaging characteristics for a series of cases of AB. It is unlikely that this lesion can be suspected solely on the basis of the imaging findings; nevertheless, it is important for radiologists to be familiar with AB to carry out a good radiopathologic correlation.
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Affiliation(s)
- M Uchida
- Departamento de Imágenes, Facultad de Medicina Clínica Alemana-Universidad del Desarrollo, Santiago, Chile.
| | - C Gatica
- Residente de Radiología, Departamento de Imágenes, Facultad de Medicina Clínica Alemana de Santiago-Universidad del Desarrollo, Santiago, Chile
| | - D Hasson
- Departamento de Imágenes, Facultad de Medicina Clínica Alemana-Universidad del Desarrollo, Santiago, Chile
| | - M Gallegos
- Departamento de Anatomía Patológica, Clínica Alemana de Santiago, Chile
| | - M Á Pinochet
- Departamento de Imágenes, Facultad de Medicina Clínica Alemana-Universidad del Desarrollo, Santiago, Chile
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Belhaddad EH, Souabni SA, Nejmaddine K, Oubahha I, Aboulfalah A, Soummani A. Benign adenomyoepithelioma of the breast: a case report. Pan Afr Med J 2022; 41:7. [PMID: 35145599 PMCID: PMC8797041 DOI: 10.11604/pamj.2022.41.7.28654] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2021] [Accepted: 11/27/2021] [Indexed: 01/14/2023] Open
Abstract
The diagnosis of adenomyoepitheliomas is difficult and relies on the presence of a double component of epithelial and myoepithelial cells belonging to the breast lobules and ducts. The clinical and imaging characteristics are not specific; thus, the diagnosis is histological. In this article, we present a case of a young female who presented with a 2 cm lump in the breast without other clinical symptoms, which revealed a benign adenomyoepithelioma (AME). We performed a large excisional lumpectomy, and the patient recovered well with no complication or recurrence within two years follow-up. When it comes to adenomyoepitheliomas, the published literature is mainly composed of case reports, so much so that there are no evidence-based guidelines. Our case shows that an excisional lumpectomy is often enough when facing a small size tumor with no signs of malignancy, which contributes to the limited data on the subject.
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Affiliation(s)
- El Habib Belhaddad
- Faculty of Medicine and Pharmacy of Marrakesh, Cadi Ayyad University, Marrakesh, Morocco
| | - Sara Ait Souabni
- Faculty of Medicine and Pharmacy of Marrakesh, Cadi Ayyad University, Marrakesh, Morocco
| | - Khadija Nejmaddine
- Department of Obstetrics and Gynecology, University Hospital Mohammed VI, Marrakesh, Morocco
| | - Ihsane Oubahha
- Department of Obstetrics and Gynecology, University Hospital Mohammed VI, Marrakesh, Morocco
| | - Abderrahim Aboulfalah
- Department of Obstetrics and Gynecology, University Hospital Mohammed VI, Marrakesh, Morocco
| | - Abderraouf Soummani
- Department of Obstetrics and Gynecology, University Hospital Mohammed VI, Marrakesh, Morocco
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Pankratjevaite L, Lind K, Mele M, Lelkaitis G. Diagnostic challenges of adenomyoepithelioma: A case report. Breast Dis 2022; 41:325-330. [PMID: 35811510 DOI: 10.3233/bd-210077] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/15/2023]
Abstract
INTRODUCTION Breast adenomyoepithelioma is a very uncommon tumor, which is generally considered to be benign, however malignant transformation has been reported. PRESENTATION OF CASE We report two cases of two women with breast adenomyoepithelioma. CONCLUSION Diagnosis of adenomyoepithelioma is challenging because tumor may mimic other breast diseases. It has neither specific clinical signs nor radiological features, and the diagnosis is based on histopathological examination of the lesion. The treatment of choice is surgery. The type of surgery depends on the tumor factors and breast size. In malignant cases treatment such as radiotherapy, chemotherapy, immunotherapy may be used as well. It is very important to give an adequate treatment, otherwise the risk of tumor recurrence, growth or even metastatic spread, when tumor has malignant potential, increases.
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Affiliation(s)
- Lina Pankratjevaite
- Department of Breast Surgery, Herlev & Gentofte University Hospital, Copenhagen, Denmark
- Department of Breast Surgery, Rigshospitalet, Copenhagen, Denmark
| | - Katrine Lind
- Department of Breast Surgery, Herlev & Gentofte University Hospital, Copenhagen, Denmark
| | - Marco Mele
- Department of Breast Surgery, Herlev & Gentofte University Hospital, Copenhagen, Denmark
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Luo X, She J, Xu T, Zhou Y, Xu C, Jiang J, Li T, Liu H, Shen H, Yin B, Dai B. Establishment and characterization of organoids from a patient with adenomyoepithelioma of the breast. Bioengineered 2021; 12:11578-11585. [PMID: 34874791 PMCID: PMC8810105 DOI: 10.1080/21655979.2021.1974809] [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] [Indexed: 10/26/2022] Open
Abstract
Adenomyoepithelioma (AME) of the breast is a rare tumor that is composed of proliferating epithelial and myoepithelial cells. The pathogenesis of AME remains unclear, and no breast cancer cells have been identified in such tumor tissues. In this study, we established patient-derived breast cancer organoids from the surgical tumor samples of an elderly Chinese woman with an AME of the breast. Our findings confirmed the successful establishment of organoids from an AME of the breast of this patient. A short tandem repeat analysis revealed that the DNA signature of the AME of the breast organoids matched the DNA signature of the original tumor specimen. Moreover, diameter assay confirmed that the organoids from the breast AME showed sensitivity to paclitaxel and doxorubicin treatments, which was similar to, but lesser than that of primary culture cells. In conclusion, we established an efficient 3-dimensional breast cancer organoid culture platform from an AME of the breast. This platform can be effectively used for exploring clinicopathological and genomic characteristics of AME of the breast to identify possible treatments and increase awareness about this disease entity.
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Affiliation(s)
- XiangRong Luo
- Department of Breast and Thoracic Surgery, The Central Hospital of Shaoyang, Shaoyang, China
| | - JianTao She
- Department of Breast and Thoracic Surgery, The Central Hospital of Shaoyang, Shaoyang, China
| | - Tao Xu
- Department of Breast and Thoracic Surgery, The Central Hospital of Shaoyang, Shaoyang, China
| | - Yuan Zhou
- Department of Breast and Thoracic Surgery, The Central Hospital of Shaoyang, Shaoyang, China
| | - ChuanBo Xu
- Department of Breast and Thoracic Surgery, The Central Hospital of Shaoyang, Shaoyang, China
| | - JianPing Jiang
- Department of Breast and Thoracic Surgery, The Central Hospital of Shaoyang, Shaoyang, China
| | - TianGang Li
- Department of Breast and Thoracic Surgery, The Central Hospital of Shaoyang, Shaoyang, China
| | - Huajiang Liu
- Department of Breast and Thoracic Surgery, The Central Hospital of Shaoyang, Shaoyang, China
| | - Hui Shen
- Department of Breast and Thoracic Surgery, The Central Hospital of Shaoyang, Shaoyang, China
| | - Bolong Yin
- Department of Breast and Thoracic Surgery, The Central Hospital of Shaoyang, Shaoyang, China
| | - Bin Dai
- Department of Breast and Thoracic Surgery, The Central Hospital of Shaoyang, Shaoyang, China
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Oda G, Nakagawa T, Mori M, Fujioka T, Onishi I. Adenomyoepithelioma of the breast with malignant transformation and repeated local recurrence: A case report. World J Clin Cases 2021; 9:8864-8870. [PMID: 34734068 PMCID: PMC8546822 DOI: 10.12998/wjcc.v9.i29.8864] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/31/2021] [Revised: 07/05/2021] [Accepted: 08/23/2021] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND Adenomyoepithelioma (AME) of the breast is a rare type of benign breast tumor. Many AMEs show benign behavior, but reports of the malignant type are rare. We present the case of a patient with AME with repeated local recurrences and further malignant transformation.
CASE SUMMARY A 53-year-old woman visited our hospital with a 16-mm palpable mass in the right breast. A core needle biopsy was performed. The pathological diagnosis was AME. Lumpectomy with a safety margin was performed without axillary lymph node dissection (ALND). Two years later, local recurrence developed, and the patient again underwent lumpectomy with a safety margin. The pathology showed malignant AME, and the margin was negative. Eight months later, local recurrence developed again in the same location, and a total mastectomy was performed without ALND. The pathological diagnosis was malignant AME. The patient was disease-free for three years posttreatment.
CONCLUSION The treatment of AME requires caution, as it may exhibit repeated recurrences after local excision as well as malignant transformation.
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Affiliation(s)
- Goshi Oda
- Department of Breast Surgery, Tokyo Medical and Dental University, Tokyo 113-8519, Japan
| | - Tsuyoshi Nakagawa
- Department of Breast Surgery, Tokyo Medical and Dental University, Tokyo 113-8519, Japan
| | - Mio Mori
- Department of Radiology, Tokyo Medical and Dental University, Tokyo 113-8519, Japan
| | - Tomoyuki Fujioka
- Department of Radiology, Tokyo Medical and Dental University, Tokyo 113-8519, Japan
| | - Iichiro Onishi
- Department of Pathology, Tokyo Medical and Dental University, Tokyo 113-8519, Japan
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Uchida M, Gatica C, Hasson D, Gallegos M, Pinochet MÁ. Breast adenomyoepithelioma from a radiologic perspective. RADIOLOGIA 2021; 64:S0033-8338(21)00116-8. [PMID: 34389153 DOI: 10.1016/j.rx.2021.06.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2021] [Revised: 06/07/2021] [Accepted: 06/21/2021] [Indexed: 11/21/2022]
Abstract
Adenomyoepithelioma of the breast (AB) is an uncommon tumor that is characterized by the biphasic proliferation of epithelial and myoepithelial cells. The radiologic findings for AB have been scantly reported. This paper aims to analyze the characteristic findings for AB on ultrasonography (US) and mammography. This retrospective descriptive study used the Breast Imaging-Reporting and Data System (BI-RADS) to analyze the US and mammography findings for histologically confirmed AB in patients attended at our institution between 2007 and 2019. We identified a total of 13 AB in 13 women. All patients underwent US. On US, 12 lesions were seen as oval nodules, and the remaining lesion was irregular-shaped; 8 lesions had circumscribed margins, 3 had angled margins, and 2 had microlobulated margins. Regarding the echo pattern, 8 lesions were hypoechoic and 5 were complex (solid-cystic). On color Doppler, 11 lesions were vascularized nodules and 2 were avascular nodules. In conclusion, we present the imaging characteristics for a series of cases of AB. It is unlikely that this lesion can be suspected solely on the basis of the imaging findings; nevertheless, it is important for radiologists to be familiar with AB to carry out a good radiopathologic correlation.
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Affiliation(s)
- M Uchida
- Departamento de Imágenes, Facultad de Medicina Clínica Alemana-Universidad del Desarrollo, Santiago, Chile.
| | - C Gatica
- Residente de Radiología, Departamento de Imágenes, Facultad de Medicina Clínica Alemana de Santiago-Universidad del Desarrollo, Santiago, Chile
| | - D Hasson
- Departamento de Imágenes, Facultad de Medicina Clínica Alemana-Universidad del Desarrollo, Santiago, Chile
| | - M Gallegos
- Departamento de Anatomía Patológica, Clínica Alemana de Santiago, Chile
| | - M Á Pinochet
- Departamento de Imágenes, Facultad de Medicina Clínica Alemana-Universidad del Desarrollo, Santiago, Chile
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Parikh P, Jameel Z, Falcon S, Rosa M, Kiluk J, Hoover S, Soliman H, Ataya D. Adenomyoepithelioma of the breast: Case series and literature review. Clin Imaging 2021; 75:157-164. [PMID: 33607537 DOI: 10.1016/j.clinimag.2021.02.002] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2020] [Revised: 01/11/2021] [Accepted: 02/01/2021] [Indexed: 01/03/2023]
Abstract
Adenomyoepithelioma of the breast is a rare tumor consisting of both epithelial and myoepithelial cells. Malignant transformation of either cell line can occur. We describe the imaging features, clinical presentation, and management of seven cases of biopsy-proven adenomyoepithelioma at our institution.
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Affiliation(s)
- Puja Parikh
- Department of Radiology, University of South Florida, Tampa, FL, USA
| | - Zena Jameel
- Department of Pathology, Division of Breast Pathology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA
| | - Shannon Falcon
- Department of Radiology, Division of Breast Imaging, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA
| | - Marilin Rosa
- Department of Pathology, Division of Breast Pathology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA
| | - John Kiluk
- Department of Breast Oncology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA
| | - Susan Hoover
- Department of Breast Oncology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA
| | - Hatem Soliman
- Department of Breast Oncology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA
| | - Dana Ataya
- Department of Radiology, Division of Breast Imaging, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA.
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