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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.
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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
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Watari S, Ichikawa T, Shiraishi H, Sakuma T, Kubota R, Kusumi N, Tsushima T, Nagakita K, Shinno Y. Retroperitoneal myofibroblastoma in an 88‐year‐old male. IJU Case Rep 2022; 5:378-382. [PMID: 36090948 PMCID: PMC9436684 DOI: 10.1002/iju5.12493] [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: 03/06/2022] [Accepted: 05/31/2022] [Indexed: 11/20/2022] Open
Abstract
Introduction Extramammary myofibroblastomas are extremely rare. Case presentation The patient was an 88‐year‐old male. He presented for evaluation of frequent urination and a “pushing up” sensation from the groin during defecation. Thorough physical and radiographic examinations revealed a retroperitoneal tumor on the right side of the rectum. The pathologic examination of the biopsy tissue showed that the tumor was unlikely to be malignant. Nevertheless, the patient was symptomatic and thus underwent a laparoscopic tumor resection through a transperitoneal approach. The tumor was circumscribed with a solid capsule. Based on the pathologic findings, which included immunostaining, the tumor was diagnosed as a myofibroblastoma. There was no evidence of a recurrence 6 months postoperatively. Conclusion We present this case with the clinical course and surgical findings, and discuss the possibility of establishing a preoperative pathologic diagnosis of a myofibroblastoma.
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Affiliation(s)
- Shogo Watari
- Department of Urology National Hospital Organization Okayama Medical Center Okayama Japan
| | - Takaharu Ichikawa
- Department of Urology National Hospital Organization Okayama Medical Center Okayama Japan
| | - Hiromasa Shiraishi
- Department of Urology National Hospital Organization Okayama Medical Center Okayama Japan
| | - Takafumi Sakuma
- Department of Urology National Hospital Organization Okayama Medical Center Okayama Japan
| | - Risa Kubota
- Department of Urology National Hospital Organization Okayama Medical Center Okayama Japan
| | - Norihiro Kusumi
- Department of Urology National Hospital Organization Okayama Medical Center Okayama Japan
| | - Tomoyasu Tsushima
- Department of Urology National Hospital Organization Okayama Medical Center Okayama Japan
| | - Keina Nagakita
- Department of Pathology National Hospital Organization Okayama Medical Center Okayama Japan
| | - Yoko Shinno
- Department of Pathology National Hospital Organization Okayama Medical Center Okayama Japan
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Un cas rare de neurothécome cellulaire de localisation mammaire chez un homme. IMAGERIE DE LA FEMME 2021. [DOI: 10.1016/j.femme.2021.02.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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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.
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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
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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.
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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.
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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
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Rochlis E, Germaine P. Radiologic presentation of a myofibroblastoma of the adult male breast. Radiol Case Rep 2017; 12:439-442. [PMID: 28828098 PMCID: PMC5552016 DOI: 10.1016/j.radcr.2017.04.025] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2017] [Revised: 04/25/2017] [Accepted: 04/29/2017] [Indexed: 12/19/2022] Open
Abstract
We present the case of a 50-year-old male with bilateral gynecomastia who was incidentally found to have 0.8-cm subareolar mass on computed tomography. Mammographic and sonographic characteristics of the lesion are described as well as a brief historical review of myofibroblastoma, a rare mesenchymal tumor.
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Affiliation(s)
- Evan Rochlis
- Cooper University Hospital, 1 Cooper Plaza, Camden, NJ 08103, USA
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9
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Comer JD, Cui X, Eisen CS, Abbey G, Arleo EK. Myofibroblastoma of the male breast: a rare entity with radiologic-pathologic correlation. Clin Imaging 2016; 42:109-112. [PMID: 27936420 DOI: 10.1016/j.clinimag.2016.11.022] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2016] [Revised: 11/09/2016] [Accepted: 11/28/2016] [Indexed: 12/15/2022]
Abstract
A 73-year old man with a history of multiple genitourinary malignancies was found to have a left retroareolar soft tissue mass on CT assessment of disease, and dedicated breast imaging was recommended. Diagnostic mammography and ultrasonography confirmed a solid mass, for which biopsy was recommended. Pathologic analysis demonstrated a spindle cell neoplasm with an immunoreactivity pattern consistent with myofibroblastoma. While this entity is benign, nonspecific imaging features necessitate tissue sampling for pathologic diagnosis, and, given pathologic rarity, open communication between the radiologist and pathologist is important to establish the correct diagnosis and to recommend appropriate management.
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Affiliation(s)
- John D Comer
- New York-Presbyterian/Weill Cornell Imaging, 425 East 61st Street, 9th floor, New York, NY 10065, United States.
| | - Xiaoyan Cui
- New York-Presbyterian/Weill Cornell Medical Center, Department of Pathology and Laboratory Medicine, 525 E. 68th Street, Room C302, New York, NY 10065, United States
| | - Carolyn Sharyn Eisen
- New York-Presbyterian/Weill Cornell Imaging, 425 East 61st Street, 9th floor, New York, NY 10065, United States
| | - Genevieve Abbey
- New York-Presbyterian/Weill Cornell Imaging, 425 East 61st Street, 9th floor, New York, NY 10065, United States
| | - Elizabeth Kagan Arleo
- New York-Presbyterian/Weill Cornell Imaging, 425 East 61st Street, 9th floor, New York, NY 10065, United States
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10
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Myofibroblastoma of the Breast: Literature Review and Case Report. Case Rep Oncol Med 2016; 2016:1714382. [PMID: 27525142 PMCID: PMC4976258 DOI: 10.1155/2016/1714382] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2016] [Accepted: 06/23/2016] [Indexed: 12/11/2022] Open
Abstract
Myofibroblastoma of the breast is a rare benign spindle cell tumor. The main aim of this study is to review the literature of this rare tumor. We present a case of a mammary myofibroblastoma occurring in an 82-year-old man, emphasizing the clinical, radiological, and pathological features. The tumor was successfully identified and managed in our hospital. We would like to draw the attention of clinicians to myofibroblastoma as a rare possibility in the differential diagnosis of a breast mass.
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Mario J, Venkataraman S, Dialani V, Slanetz PJ. Benign breast lesions that mimic cancer: Determining radiologic-pathologic concordance. APPLIED RADIOLOGY 2015. [DOI: 10.37549/ar2214] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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12
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13
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Mesenchymal breast lesions. Clin Radiol 2015; 70:567-75. [DOI: 10.1016/j.crad.2014.12.015] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2014] [Revised: 12/11/2014] [Accepted: 12/18/2014] [Indexed: 12/18/2022]
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Lattin GE, Jesinger RA, Mattu R, Glassman LM. From the radiologic pathology archives: diseases of the male breast: radiologic-pathologic correlation. Radiographics 2013; 33:461-89. [PMID: 23479708 DOI: 10.1148/rg.332125208] [Citation(s) in RCA: 47] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Male breast disease includes a variety of benign and malignant conditions, many of which are hormonally influenced. Gynecomastia and skin lesions account for the majority of conditions in symptomatic men with a palpable abnormality, and these conditions should be accurately recognized. Imaging patterns of gynecomastia include nodular, dendritic, and diffuse patterns. Histopathologically, the nodular and dendritic patterns correlate with the florid and quiescent (fibrotic) phases of gynecomastia, respectively. The diffuse pattern may have features of both phases and is associated with exposure to exogenous estrogen. Benign-appearing palpable masses in male patients should be approached cautiously, given the overlapping morphologic features of benign and malignant tumors. In addition to gynecomastia, other benign male breast tumors include lipoma, pseudoangiomatous stromal hyperplasia, granular cell tumor, fibromatosis, myofibroblastoma, schwannoma, and hemangioma. Male breast cancer accounts for 1% of all breast carcinomas. Invasive ductal carcinoma accounts for the majority of cases in adult males and typically appears as a subareolar mass without calcifications that is eccentric to the nipple. Other epithelial and mesenchymal tumors that may occur, albeit not as commonly as in women, include papillary carcinoma, invasive lobular carcinoma, adenoid cystic carcinoma, liposarcoma, dermatofibrosarcoma, pleomorphic hyalinizing angiectatic tumor, basal cell carcinoma of the nipple, hematopoietic malignancies, and secondary tumors. Knowledge of the natural history, clinical characteristics, and imaging features of tumors that occur in the male breast will help narrow the radiologic differential diagnosis and optimize treatment.
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Affiliation(s)
- Grant E Lattin
- Department of Radiology and Radiological Sciences, F. Edward Hébert School of Medicine, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Rd, Bethesda, MD 20814, USA.
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Landeyro J, Díaz ML, Raventós A, Vadillo J, Martínez MS. Cytological diagnostic clues in fine needle aspiration of breast myofibroblastoma: A case report. Diagn Cytopathol 2011; 40:1107-11. [DOI: 10.1002/dc.21720] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2010] [Accepted: 03/15/2011] [Indexed: 11/10/2022]
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Mele M, Jensen V, Wronecki A, Lelkaitis G. Myofibroblastoma of the breast: Case report and literature review. Int J Surg Case Rep 2011; 2:93-6. [PMID: 22096693 DOI: 10.1016/j.ijscr.2011.02.006] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2010] [Revised: 02/05/2011] [Accepted: 02/18/2011] [Indexed: 10/18/2022] Open
Abstract
Myofibroblastoma of the breast is a rare benign mesenchymal tumor. The literature describes relatively few cases of this type of tumor. We report on a new case of myofibroblastoma in a 65-year old man successfully managed at our institution. The purpose of this case report is to highlight characteristics and differential diagnosis of this rare neoplasm.
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Affiliation(s)
- Marco Mele
- Surgical Dept., Aarhus University Hospital, Denmark
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Yoo EY, Shin JH, Ko EY, Han BK, Oh YL. Myofibroblastoma of the female breast: mammographic, sonographic, and magnetic resonance imaging findings. JOURNAL OF ULTRASOUND IN MEDICINE : OFFICIAL JOURNAL OF THE AMERICAN INSTITUTE OF ULTRASOUND IN MEDICINE 2010; 29:1833-1836. [PMID: 21098856 DOI: 10.7863/jum.2010.29.12.1833] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Affiliation(s)
- Eun Young Yoo
- Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea
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Solución del caso 8. Miofibroblastoma de mama. RADIOLOGIA 2009; 51:527-8. [DOI: 10.1016/j.rx.2008.10.013] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2008] [Accepted: 10/29/2008] [Indexed: 11/19/2022]
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Magro G. Mammary Myofibroblastoma: A Tumor With a Wide Morphologic Spectrum. Arch Pathol Lab Med 2008; 132:1813-20. [DOI: 10.5858/132.11.1813] [Citation(s) in RCA: 129] [Impact Index Per Article: 8.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/05/2008] [Indexed: 12/20/2022]
Abstract
Abstract
Context.—Myofibroblastoma (MFB) of the breast is an unusual benign tumor that belongs to the family of the “benign spindle cell tumors of the mammary stroma.” The name MFB reflects its cellular composition, comprising mainly stromal cells with fibromyofibroblastic and, less frequently, myoid differentiation. Since the original description, the morphologic spectrum of MFB has been expanded by the recognition of several unusual morphologic variants, such as the cellular, infiltrative, epithelioid, deciduoid-like, lipomatous, collagenized/fibrous, and myxoid variants.
Objective.—To review the literature on mammary MFB, discussing the main clinical, radiologic, and pathologic features helpful for diagnosis. Since MFB may show alarming morphologic features, which can lead to a misdiagnosis of malignancy, histologic figures of this tumor, including its more unusual variants, are provided to offer pathologists a practical approach to a correct diagnosis. Histogenesis and pathogenesis of this tumor are also proposed.
Data Sources.—Clinicopathologic data on MFB were extracted from all identified articles through PUB Medline– based research. Histologic figures have been taken from the personal archive of the author.
Conclusions.—The incidence of MFB diagnosis has increased in recent years, likely due to the mammographic screening. Accordingly, this unusual benign tumor may represent a potential diagnostic pitfall, especially when interpreting fine-needle aspiration and/or needle core biopsy. Pathologists should be aware of the wide morphologic spectrum exhibited by MFB to avoid a misdiagnosis of malignancy.
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Affiliation(s)
- Gaetano Magro
- From the Dipartimento G.F. Ingrassia, Policlinico Universitario G. Rodolico, Anatomia Patologica, Università di Catania, Catania, Italy
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