Case Report of Desmoid Fibromatosis as a Rare Disease Entity of the Breast

Eun-Gyeong Lee, M. Lee, Bo Hwa Choi, Seog Yun Park, Seeyoun Lee
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Abstract

Desmoid fibromatosis (DF) of the breast is a rare condition. Owing to its rarity and mimicry of carcinoma, the diagnosis and optimal treatment of DF are challenging tasks. A 41-year-old woman with no history of augmentation or other breast procedures for breast cancer was examined. The patient had a palpable mass in the left breast identified as a spiculated hypoechoic mass using ultrasonography. Core needle biopsy revealed spindle cells without mitotic figures. The mass was excised and a histopathological examination confirmed the diagnosis of DF. The patient had no history of any related factors. Imaging studies did not reveal specific features that could distinguish this tumor from other commonly presenting carcinomas. Therefore, pathological confirmation is of paramount importance for the diagnosis of DF. Further experience with more cases will help to understand DF better and develop a multidisciplinary approach to its clinical management.
作为乳腺罕见疾病实体的脱模性纤维瘤病病例报告
乳腺脱模性纤维瘤病(DF)是一种罕见病。由于其罕见性和与癌症的相似性,DF 的诊断和最佳治疗是一项具有挑战性的任务。我们对一名 41 岁的女性进行了检查,她没有隆胸史,也没有因乳腺癌接受过其他乳房手术。患者左侧乳房可触及肿块,超声波检查发现为棘状低回声肿块。核心针活检显示为无有丝分裂的纺锤形细胞。肿块被切除,组织病理学检查确诊为 DF。患者没有任何相关病史。影像学检查未发现可将该肿瘤与其他常见癌症区分开来的特殊特征。因此,病理确诊对于 DF 的诊断至关重要。对更多病例的进一步研究将有助于更好地了解 DF,并制定出多学科的临床治疗方法。
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