Pesce K, Chico MJ, Delgado JS, Sierra ACZ, Hadad C, Wernicke A. Metastases to the breast, an uncommon diagnosis: what do radiologists need to know?
Radiologia (Engl Ed) 2019;
61:324-32. [PMID:
30981417 DOI:
10.1016/j.rx.2019.02.004]
[Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2018] [Revised: 02/25/2019] [Accepted: 02/25/2019] [Indexed: 11/24/2022]
Abstract
OBJECTIVE
To analyze the imaging characteristics of histologically diagnosed metastases to the breast.
MATERIAL AND METHODS
We selected patients histologically diagnosed with metastases to the breast in our diagnostic and interventional breast imaging unit between March 2010 and September 2018.
RESULTS
A total of 9 patients (all women; mean age, 60 y; age range, 28-89 y) were diagnosed with metastases to the breast. In 1 (11.11%) case, the primary disease was diagnosed from the breast lesion. The primary tumors were melanoma (n=5), neuroendocrine tumor (n=2, one from the small bowel and one from the cervix), lung adenocarcinoma (n=1), and ovarian cancer (n=1). The clinical and imaging manifestations depend on the type of dissemination of disease and can simulate benign and malignant primary breast lesions.
CONCLUSION
There is no specific imaging pattern for metastases to the breast that would help to orient the diagnosis. It is important to consider this etiological possibility if the patient has a history of a primary tumor in another organ.
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