ABSTRACT
Metaplastic carcinoma of the breast is rare. We report a case in a 53-year-old woman who presented with a rapidly-growing breast mass. The lesion had a complex echogenicity in ultrasonography and a high signal intensity in a T2-weighted image with rim enhancement in contrast-enhanced MR images. The PET/CT images showed high uptake for the lesion. The lesion was biopsied and found to be a metaplastic carcinoma with an adenomyoepithelioma component. Although metaplstic carcinoma was difficult to differentiate from other common breast cancers, it showed complex echogenicity on ultrasonography and high signal intensity on a T2 weighted image with rim enhancement on contrast-enhanced MR images.
Subject(s)
Female , Humans , Middle Aged , Adenomyoepithelioma , BreastABSTRACT
PURPOSE: To evaluate the imaging findings of a traumatic dissection of subcutaneous fatty tissue and the treatment. MATERIALS AND METHODS: Fifteen lesions from 13 patients treated by sonography were investigated in our study. The lesions were treated by aspiration only, aspiration followed by steroid injection, and by surgical procedure. Based on the treatment, five factors such as location, size and extent of the lesions, nature of the contents, and treatment effectiveness were assessed. RESULTS: A total of 6 lesions in the thigh, 4 in the leg, 3 in the knee, and 1 each in proximal forearm and flank. All lesions were found in subcutaneous fatty tissue with an average size of 8.9 cm. The nature of the contents was serous (n = 2), hemorrhaging (n = 9), and an abscess (n = 1). Without treatment, three lesions disappeared. Five of the 7 lesions vanished after being treated by aspiration. Only one out of three lesions disappeared when they were treated by steroid injection after aspiration. The three hemorrhaging lesions disappeared after operation, but one serous lesion remained. CONCLUSION: Dissection of subcutaneous fatty tissue represents a cystic mass with serous fluid or hemorrhage. The effectiveness of lesion treatment may relate to the location, size, and content of the lesion.