Something as Simple and as Complex as Fibrocystic Masthopathy Review of MRI Findings in a Case Report

Abstract

Purpose: conduct a review of the findings on MRI of fibrocystic breast disease, taking into account existing short bibliography about it, from a complex case registered in our service.Discussion: A large part of both clinical and subclinical lesions found in our daily work are benign and correspond with fibrocystic changes (FCC). This entity is complex and part exhibit traits that define characteristically in MRI and diagnose correctly, but there is another small group of changes that can take the image aspect of cancer. From a complex case, we review the main aspects of the FCC in MRI face to better understand a very common condition, although, but at the same time unknown in MRI technique.Conclusion: more than 50% of lesions we see in the context of FCC show morphological and kinetic criteria of malignancy, so in the present moment we cannot avoid biopsies. The most relevant features in MRI in the FCC is non-mass regional enhancement and predominantly curves type II. Keywords: Breast; MRI; Mastopathy; Fibrocystic change; FCC; Predominantly; Lump ReviewThis is the case of 39 years old woman, with no family history of breast cancer, with painless palpable lump recently appeared on CSI left breast, without blushing or heat. The patient comes to our Unit to start imaging studies. Mammographic, ultrasonographic and MR breast findings, and anatomo-pathological analysis are described below. In the mammography we can see a left global asymmetry that primarily affects upper quadrants (Figure 1), associating faint and few fine and heterogeneous scattered microcalcifications. Sonographically a mass measuring 47mm, consisting of numerous small and simple cysts grouped, with some ectatic canalicular segments and moderate hyperemia regional (Figure 2) with a hard and stiff behavior in the US-elastography, so additional histological study is made.