대한영상의학회지 (Jul 2017)

Myoepithelial Carcinoma Arising within an Adenomyoepithelioma of the Breast: A Case Report

  • Youyeon Kim,
  • Kyu Ran Cho,
  • Sung Eun Song,
  • Bo Kyoung Seo,
  • Ok Hee Woo,
  • Jeonghyun Lee

DOI
https://doi.org/10.3348/jksr.2017.77.1.27
Journal volume & issue
Vol. 77, no. 1
pp. 27 – 31

Abstract

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Adenomyoepithelioma of the breast is a rare tumor. A myoepithelial carcinoma arising within an adenomyoepithelioma is even more unusual. There are a limited number of reports discussing myoepithelial carcinoma; most of them describe pathological findings, but not imaging findings. We present a case of a 55-year-old woman who had a screen-detected myoepithelial carcinoma arising within an adenomyoepithelioma in her right breast. Upon the completion of a mammography and sonography an oval shaped mass with an indistinct margin in the upper portion of the right breast had been seen. It as appeared to be a spiculated, irregular-shaped, peripheral-enhancing mass on an MRI. On sonography-guided biopsy, an epithelial-myothelial tumor was confirmed, and the possibility of myoepithelial carcinoma was suggested. Breast-conserving surgery with a sentinel lymph node dissection was performed, and a pathological examination revealed a myoepithelial carcinoma arising within an adenomyoepithelioma.

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