SCLEROSANT PAPILLARY LESION: A TRAP LESION IN THE DIFFERENTIAL DIAGNOSIS OF MALIGNANCY IN A YOUNG PATIENT CASE REPORT
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Abstract:
Papillary lesions of the breast include various benign, atypical, and malignant lesions. These lesions clinically, radiologically and histologically are not only may interfered as benign breast lesions but also can be confused as malignant lesions. However, cause the fact that the treatment methods vary according to the precise diagnosis, definitive diagnosis gain importance. In this article; the clinical, radiological, pathological features, and treatment modalities of papillary type breast lesions was presented with a case report.Cite
Histopathological examination
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Vascular tumors of the breast are very rare. Angiosarcomas account for only 0.04% of all breast tumors and 3% to 9% of breast sarcomas and may be primary or, more commonly, secondary [[1],[2],[3],[4],[5]]. Primary angiosarcomas of the breast require a high degree of clinical suspicion for accurate diagnosis and appropriate treatment. Even so, they may be misdiagnosed and treatment must be thoughtfully directed with this possibility in mind. We present a case report illustrating the challenges to accurate and timely diagnosis of primary angiosarcoma of the breast despite thorough preoperative work-up.
Hemangiosarcoma
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Sinus (botany)
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The occurrence of foci of fibrosis in benign intraductal papillary proliferations in the female mammary gland can lead to extreme distortion with a pseudo-invasive pattern that is still often mistaken for carcinoma. The histologic diagnostic criteria which differentiate between this benign lesion and true carcinoma are described in detail in this report. In a series of 30 cases with adequate followup, the benign nature of this lesion was confirmed.
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BACKGROUND:Sebaceous gland carcinoma (SGC) is a rare malignant lesion that occurs on the eyelids. It is known to mimic other benign or malignant lesions in clinical presentation, such as a chalazion, basal cell carcinoma, and squamous cell carcinoma. The histopathological diagnosis is the mainstay for diagnosis and is often challenging. CASE REPORT:We describe a case of SGC in a 53-year-old woman who presented with a cauliflower-appearing lesion with pearly telangiectatic vessels and raised margins at the lower eyelid margin. Clinically, we suspected a diagnosis of basal cell carcinoma. Upon complete resection of the lesion, the final diagnosis was SGC based on the histopathological features and immunohistochemical staining characteristics of the tissue. CONCLUSIONS:Due to the possibility of SGC presenting similarly to other lesions, it is essential for ophthalmologists to have a high index of suspicion in its diagnosis. The early and accurate diagnosis of such lesions is important for appropriate management to prevent metastasis or recurrence related to advanced tumors.
Chalazion (fungus)
Sebaceous carcinoma
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Epidermoid cysts are common benign disorders of the skin,which occur frequently in the scalp and in the skin of the neck and back . When they develop in the breast parenchyma they are an uncommon benign con- dition, yet have the potential for malignancy.The diagnosis of this condition may not be straightforward with imaging alone. An epidermoid cyst presenting as an enlarging lump in the breast may mimic a benign breast lesion such as fibroadenoma or malignant lesion with benign imaging features. Excision is recommended for definite histopathological diagnosis and to prevent potential risk of malignant transformation.
Epidermoid cyst
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Focal nodular hyperplasia
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Breast carcinoma
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