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Ductal Carcinoma In Situ within a Fibroadenoma: Microcalcifications Identified on Mammography Play a Crucial Role in Diagnosis

Other Titles
 유방의 섬유선종 안에서 발생한 상피내암: 유방촬영에서 보이는 미세석회화가 진단에 결정적인 역할을 한 예 
 Jai Kyung You  ;  Yee Jeong Kim  ;  Bomi Kim  ;  Eun-Kyung Kim 
 Journal of the Korean Society of Radiology, Vol.74(6) : 361-364, 2016 
Journal Title
 Journal of the Korean Society of Radiology 
Issue Date
Fibroadenoma is a common, benign tumor of the breast, which is rarely associated with an increased risk of carcinoma. We report a case of ductal carcinoma in situ within a fibroadenoma in a 38-year-old woman. The lesion was a 1 cm, circumscribed, ovoid mass with internal calcifications evident on mammography and ultrasound, which is commonly found in fibroadenoma, but the calcifications were fine and linear, which is uncommon. This type of calcification is classified as suspicious by the American College of Radiology Breast Imaging-Reporting And Data System, and it is often correlated with comedo necrosis of ductal carcinoma, and, so, requires immediate pathologic confirmation. In our case, careful analysis of the unusual calcifications led to appropriate intervention and diagnosis. Radiologists should be aware that fibroadenomas can be malignant, and they should look for suspicious microcalcifications within a fibroadenoma.
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Eun-Kyung(김은경) ORCID logo https://orcid.org/0000-0002-3368-5013
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