Radiology Case Reports (Dec 2020)

Localized primary breast amyloidosis and 1-year changes in imaging: A case report

  • Bo-mi Kim, MD,
  • Yee Jeong Kim, MD,
  • Ho Hur, MD,
  • Jai Kyung You, MD

Journal volume & issue
Vol. 15, no. 12
pp. 2637 – 2640

Abstract

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Localized primary breast amyloidosis is a very rare benign disease characterized by abnormal protein deposition in the mammary glands. Amyloidosis may mimic the appearance of a number of pathologies, both benign and malignant. Clinically, the patient may present with a breast mass or simply with increased breast density and skin thickening. Herein, we report the case of a 45-year-old woman who presented with a breast mass and was ultimately diagnosed with primary breast amyloidosis, and the mass diagnosed with amyloidosis increased in size and there were a greater number of amorphous and irregular microcalcifications on mammography and ultrasound at the 1-year follow-up. To conclude, we presented changes in a case of localized primary breast amyloidosis on mammography and ultrasound images over a period of 1 year. The current standard of care of primary breast amyloidosis is surgical resection; however, the patient should be followed after surgery to monitor the possibility of recurrence of malignancy.

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