The Importance of Carefully Evaluating Breast Masses During Pregnancy

Maia, Ana Filipa; Solinho, Mariana; Costa, Ana Rita Vicente; Alves, Olga; Nogueira, Madalena

doi:10.20344/amp.19118

Cited by 1 publication

(2 citation statements)

References 4 publications

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“…Due to the varied morphologic changes in fibroadenomas during pregnancy and lactation, these should be meticulously scanned with a good knowledge of the commonly seen pregnancy-associated changes and if a sinister etiology is thought of, a core needle biopsy should be performed in order not to misdiagnose an underlying pregnancy-associated breast cancer. 5 In this article, we aim to discuss and illustrate the radiologic features which help us identify a complicated fibroadenoma and also help us in the identification of any newly developed sinister morphologic feature in a previously known fibroadenoma which would now need a core needle biopsy and a histopathological diagnosis.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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When Friend Becomes Foe: Complications of Fibroadenoma Imaging Spectrum

Kar,

Arora

2023

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Fibroadenoma are the most common benign breast lesions. Complications in fibroadenoma although rare in occurrence, are reported. It is important to be aware of the possible complications, both benign and malignant which may require surgical management. Commonly encountered benign complications in a fibroadenoma are infarction, rapid increase in size, and lactational changes. A common differential of a giant fibroadenoma is phyllodes tumor which has subtle imaging differences. Malignant transformation of a fibroadenoma is very rare although cases are reported (0.02%). Breast is a dynamic organ and is influenced by the hormone surges occurring typically during pregnancy and lactation, it causes changes in morphology of prior existing fibroadenoma which may mimic like a malignancy and hence knowledge of these benign complications in a fibroadenoma is also important. To identify the subtle radiologic imaging features which may suggest complication developing in a known fibroadenoma, prompting for a histopathological examination correlation. In this article, we discuss the imaging features of complications in a fibroadenoma—benign and malignant. Sinister etiology secondarily engulfing a fibroadenoma and sinister focus developing in a fibroadenoma will be discussed. Also, the benign complications in a fibroadenoma like lactational changes, spontaneous infarction within a fibroadenoma, and excessive increase in the size of fibroadenoma with degenerative changes due to the estrogen and progesterone effect which can mimic like a malignancy will be illustrated. A careful history, meticulous scanning, close monitoring, and histopathological correlation is invaluable to identify these complications in a known fibroadenoma and thus guide in the appropriate management of these lesions.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%