Your browser doesn't support javascript.
loading
Breast Trauma and Triple-Negative Hemorrhagic Cystic Carcinoma: Management and Treatment.
Cotesta, Maria; Buonomo, Oreste Claudio; De Majo, Adriano; Vanni, Gianluca; Materazzo, Marco; Santori, Francesca; Granai, Alessandra Vittoria; Pistolese, Chiara Adriana; Servadei, Francesca; Finocchiaro, Susanna; Giacobbi, Erica; Anemona, Lucia; Pellicciaro, Marco.
Afiliação
  • Cotesta M; Breast Unit, Department of Surgical Science, Tor Vergata Hospital Polyclinic, Rome, Italy.
  • Buonomo OC; Breast Unit, Department of Surgical Science, Tor Vergata Hospital Polyclinic, Rome, Italy.
  • De Majo A; Breast Unit, Department of Surgical Science, Tor Vergata Hospital Polyclinic, Rome, Italy.
  • Vanni G; Breast Unit, Department of Surgical Science, Tor Vergata Hospital Polyclinic, Rome, Italy.
  • Materazzo M; Breast Unit, Department of Surgical Science, Tor Vergata Hospital Polyclinic, Rome, Italy.
  • Santori F; Breast Unit, Department of Surgical Science, Tor Vergata Hospital Polyclinic, Rome, Italy.
  • Granai AV; Breast Unit, Department of Surgical Science, Tor Vergata Hospital Polyclinic, Rome, Italy.
  • Pistolese CA; Department of Diagnostic Imaging, Molecular Imaging, Interventional Radiology and Radiotherapy, Tor Vergata Hospital Polyclinic, Rome, Italy.
  • Servadei F; Anatomic Pathology, Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy.
  • Finocchiaro S; Anatomic Pathology, Department of Biomedicine and Prevention, University of Rome Tor Vergata, Roma, Italy.
  • Giacobbi E; Anatomic Pathology, Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy.
  • Anemona L; Department of Experimental Medicine and Surgery, Tor Vergata Hospital Polyclinic, Rome, Italy.
  • Pellicciaro M; Breast Unit, Department of Surgical Science, Tor Vergata Hospital Polyclinic, Rome, Italy.
Am J Case Rep ; 21: e925014, 2020 Dec 13.
Article em En | MEDLINE | ID: mdl-33311426
BACKGROUND Breast trauma can always have diagnostic pitfalls. In the presence of a recurrent hemorrhagic cysts, cancer should always be suspected. CASE REPORT A 59-year-old woman noted a palpable mass after breast trauma from falling at home. Radiological exams showed a breast cyst with well-defined margins, with corpuscular and dense fluid components. First, a conservative approach was implemented. One week later, a fine-needle aspiration cytology (FNAC) of the mass showed bloody fluid without atypical cells. Three weeks later, the patient was emergently evaluated due to increased size of the lesion and anemia. To avoid further blood loss and due to suspected malignancy, an urgent surgical excision biopsy was planned. Histopathology revealed a poorly-differentiated carcinoma and the patient was treated with left modified radical mastectomy with axillary dissection. Adjuvant chemotherapy was administered. At 6-month follow-up, the patient was free from recurrences. CONCLUSIONS Recurrent hemorrhagic cysts should always be investigated and considered as a possible cancer lesion. Sonography and cytological exam are the first steps in case of suspicious cysts, but false-negative results are common. In such cases, resection of the cyst should be considered. Immediate resection is valid in cases of diagnostic uncertainty or inability to assess the cyst with imaging or biopsy.
Assuntos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Neoplasias da Mama / Carcinoma / Cistos Tipo de estudo: Diagnostic_studies Limite: Female / Humans / Middle aged Idioma: En Ano de publicação: 2020 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Neoplasias da Mama / Carcinoma / Cistos Tipo de estudo: Diagnostic_studies Limite: Female / Humans / Middle aged Idioma: En Ano de publicação: 2020 Tipo de documento: Article