Investigative Magnetic Resonance Imaging

Korean Society of Magnetic Resonance in Medicine (대한자기공명의과학회)
권호 표지
DOI QR코드

DOI QR Code

Recurrent Encapsulated Papillary Carcinoma in the Ipsilateral Internal Mammary Lymph Node: a Case Report

  • Jung, Chi Hyung (Department of Radiology, Dankook University Hospital) ;
  • Kim, You Me (Department of Radiology, Dankook University Hospital) ;
  • Kim, Hee Jeong (Department of Radiology, Dankook University Hospital)
  • Received : 2021.07.15
  • Accepted : 2021.10.07
  • Published : 2022.03.30
Download PDF
⟨ Previous Next ⟩

Abstract

Encapsulated papillary carcinoma (EPC) is an uncommon breast malignancy that is known to be indolent and associated with an excellent prognosis. However, there is a rare possibility of locoregional relapse or metastasis. Here, we present a case of recurrent EPC in the ipsilateral internal mammary lymph node (IMLN) that was detected in the postoperative magnetic resonance imaging with abbreviated protocol (AB-MRI). AB-MRI could facilitate the early detection of recurrent disease in the IMLN and may provide prognostic gain for such patients.

Keywords

References

  1. Mulligan AM, O'Malley FP. Metastatic potential of encapsulated (intracystic) papillary carcinoma of the breast: a report of 2 cases with axillary lymph node micrometastases. Int J Surg Pathol 2007;15:143-147 https://doi.org/10.1177/1066896906299119
  2. Rakha EA, Gandhi N, Climent F, et al. Encapsulated papillary carcinoma of the breast: an invasive tumor with excellent prognosis. Am J Surg Pathol 2011;35:1093-1103 https://doi.org/10.1097/PAS.0b013e31821b3f65
  3. Li X, Xu Y, Ye H, Qin S, Hou F, Liu W. Encapsulated papillary carcinoma of the breast: a clinicopathological study of 49 cases. Curr Probl Cancer 2018;42:291-301 https://doi.org/10.1016/j.currproblcancer.2018.03.005
  4. Urano M, Denewar FA, Murai T, et al. Internal mammary lymph node metastases in breast cancer: what should radiologists know? Jpn J Radiol 2018;36:629-640 https://doi.org/10.1007/s11604-018-0773-9
  5. Choi BH, Choi N, Kim MY, Yang JH, Yoo YB, Jung HK. Usefulness of abbreviated breast MRI screening for women with a history of breast cancer surgery. Breast Cancer Res Treat 2018;167:495-502 https://doi.org/10.1007/s10549-017-4530-z
  6. Wynveen CA, Nehhozina T, Akram M, et al. Intracystic papillary carcinoma of the breast: an in situ or invasive tumor? Results of immunohistochemical analysis and clinical follow-up. Am J Surg Pathol 2011;35:1-14 https://doi.org/10.1097/PAS.0b013e3181fbe20a
  7. Tariq MU, Idress R, Qureshi MB, Kayani N. Encapsulated papillary carcinoma of breast; a clinicopathological study of 25 cases and literature review with emphasis on high grade variant. Ann Diagn Pathol 2020;49:151613 https://doi.org/10.1016/j.anndiagpath.2020.151613
  8. WHO Classification of Tumours Editorial Board. Breast tumours: WHO classification of tumours, 5th ed., vol. 2. Lyon (France): International Agency for Research on Cancer, 2019
  9. Ulaner GA. PET/CT for patients with breast cancer: where is the clinical impact? AJR Am J Roentgenol 2019;213:254-265 https://doi.org/10.2214/AJR.19.21177
  10. Kinoshita T, Odagiri K, Andoh K, et al. Evaluation of small internal mammary lymph node metastases in breast cancer by MRI. Radiat Med 1999;17:189-193