Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
권호 표지
DOI QR코드

DOI QR Code

Myxoid Liposarcoma of the Breast Mimicking Phyllodes Tumor: A Case Report

엽상종양과 유사한 유방의 점액성 지방육종: 증례 보고

  • Se Jin Lee (Department of Radiology, Kyung Hee University Hospital at Gangdong, College of Medicine, Kyung Hee University) ;
  • Jung Kyu Ryu (Department of Radiology, Kyung Hee University Hospital at Gangdong, College of Medicine, Kyung Hee University) ;
  • Kyu Yeoun Won (Department of Pathology, Kyung Hee University Hospital at Gangdong, College of Medicine, Kyung Hee University) ;
  • Sang-Ah Han (Department of Surgery, Kyung Hee University Hospital at Gangdong, College of Medicine, Kyung Hee University)
  • 이세진 (경희대학교 의과대학 강동경희대학교병원 영상의학과) ;
  • 류정규 (경희대학교 의과대학 강동경희대학교병원 영상의학과) ;
  • 원규연 (경희대학교 의과대학 강동경희대학교병원 병리학과) ;
  • 한상아 (경희대학교 의과대학 강동경희대학교병원 외과)
  • Received : 2022.10.29
  • Accepted : 2023.02.19
  • Published : 2023.07.01
Download PDF
⟨ Previous Next ⟩

Abstract

Myxoid liposarcoma is an extremely rare malignant breast tumor. We report the case of a 44-year-old woman who had myxoid liposarcoma of the breast with a history of phyllodes tumor and describe the imaging findings on US, mammography, and MRI. Before surgery, the mass was considered to be a recurrent phyllodes tumor. However, using US, we retrospectively identified some differences between myxoid liposarcomas and phyllodes tumors.

유방에 발생하는 점액성 지방육종은 극히 드문 유방의 악성종양이다. 저자들은 엽상종양의 과거력이 있는 44세 여자 환자에서 발생한 유방 점액성 지방육종의 1예를 보고하고 유방촬영술, 초음파, 자기공명영상의 영상 소견을 보고하고자 한다. 종양은 수술 전 영상검사에서 엽상종양의 재발로 오인되었으나 후향적으로 비교했을 때 점액성 지방육종과 엽상종양의 감별에 도움이 될 수 있는 초음파 소견을 고찰하였다.

Keywords

Acknowledgement

We would like to thank Editage (www.editage.co.kr) for English language editing.

References

  1. Murphey MD, Arcara LK, Fanburg-Smith J. From the archives of the AFIP: imaging of musculoskeletal liposarcoma with radiologic-pathologic correlation. Radiographics 2005;25:1371-1395
  2. Abdullah MA, Sain AHM, Ghani FA. Myxoid liposarcoma: a rare soft tissue tumour in the breast. Malaysian J Med Health Sci 2020;16:131-133
  3. Kim JH, Lee JY. Malignant phyllodes tumor of the breast with liposarcomatous differentiation: a case report with imaging findings. Radiol Case Rep 2019;14:531-534
  4. Saito T, Ryu M, Fukumura Y, Asahina M, Arakawa A, Nakai K, et al. A case of myxoid liposarcoma of the breast. Int J Clin Exp Pathol 2013;6:1432-1436
  5. Kim JM, Jung EJ, Kim JY, Lee HS, An HJ, Park T, et al. A rare case of mixed type liposarcoma of breast arising in malignant phyllodes tumor. Breast J 2020;26:271-273
  6. Li GZ, Raut CP, Hunt KK, Feng M, Chugh R. Breast sarcomas, phyllodes tumors, and desmoid tumors: epidemiology, diagnosis, staging, and histology-specific management considerations. Am Soc Clin Oncol Educ Book 2021;41:390-404
  7. Kim GR, Choi JS, Han BK, Ko EY, Ko ES, Hahn SY. Combination of shear-wave elastography and color Doppler: feasible method to avoid unnecessary breast excision of fibroepithelial lesions diagnosed by core needle biopsy. PLoS One 2017;12:e0175380
  8. Ohshika S, Saruga T, Ogawa T, Ono H, Ishibashi Y. Distinction between benign and malignant soft tissue tumors based on an ultrasonographic evaluation of vascularity and elasticity. Oncol Lett 2021;21:281
  9. Yabuuchi H, Soeda H, Matsuo Y, Okafuji T, Eguchi T, Sakai S, et al. Phyllodes tumor of the breast: correlation between MR findings and histologic grade. Radiology 2006;241:702-709
  10. Moran LM, Vega J, Gomez-Leon N, Royuela A. Myxomas and myxoid liposarcomas of the extremities: our preliminary findings in conventional, perfusion, and diffusion magnetic resonance. Acta Radiol Open 2022;11:20584601221131481