Invasive Lobular Cancer Arising in a Surgical Scar From Lumpectomy for a Previous Invasive Ductal Cancer of the Breast

We describe a case of pathology-proven invasive lobular breast cancer (ILC) arising in a scar over 15 years after lumpectomy for previous invasive ductal carcinoma (IDC). The tumor was detected on screening mammography as a new focal asymmetry at the scar site and confirmed at diagnostic mammography...

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Autores principales: Adam, Richard, Herman, Mira, Hodges, Laura, Duong, Tim Q, Fineberg, Susan, Roknsharifi, Shima
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Pathology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9558490/
https://www.ncbi.nlm.nih.gov/pubmed/36249638
http://dx.doi.org/10.7759/cureus.29054
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author Adam, Richard
Herman, Mira
Hodges, Laura
Duong, Tim Q
Fineberg, Susan
Roknsharifi, Shima
author_facet Adam, Richard
Herman, Mira
Hodges, Laura
Duong, Tim Q
Fineberg, Susan
Roknsharifi, Shima
author_sort Adam, Richard
collection PubMed
description We describe a case of pathology-proven invasive lobular breast cancer (ILC) arising in a scar over 15 years after lumpectomy for previous invasive ductal carcinoma (IDC). The tumor was detected on screening mammography as a new focal asymmetry at the scar site and confirmed at diagnostic mammography. Ultrasound demonstrated an irregular, shadowing, hypoechoic mass at the scar site. Ultrasound-guided biopsy revealed poorly differentiated invasive lobular carcinoma. MRI and CT showed an irregular mass with pectoralis muscle invasion. Multimodality imaging findings are described. This is the first case to our knowledge reporting multimodality imaging findings of a breast cancer developing at the site of a surgical scar that is histologically different from the originally resected cancer.
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spelling pubmed-95584902022-10-15 Invasive Lobular Cancer Arising in a Surgical Scar From Lumpectomy for a Previous Invasive Ductal Cancer of the Breast Adam, Richard Herman, Mira Hodges, Laura Duong, Tim Q Fineberg, Susan Roknsharifi, Shima Cureus Pathology We describe a case of pathology-proven invasive lobular breast cancer (ILC) arising in a scar over 15 years after lumpectomy for previous invasive ductal carcinoma (IDC). The tumor was detected on screening mammography as a new focal asymmetry at the scar site and confirmed at diagnostic mammography. Ultrasound demonstrated an irregular, shadowing, hypoechoic mass at the scar site. Ultrasound-guided biopsy revealed poorly differentiated invasive lobular carcinoma. MRI and CT showed an irregular mass with pectoralis muscle invasion. Multimodality imaging findings are described. This is the first case to our knowledge reporting multimodality imaging findings of a breast cancer developing at the site of a surgical scar that is histologically different from the originally resected cancer. Cureus 2022-09-11 /pmc/articles/PMC9558490/ /pubmed/36249638 http://dx.doi.org/10.7759/cureus.29054 Text en Copyright © 2022, Adam et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Pathology
Adam, Richard
Herman, Mira
Hodges, Laura
Duong, Tim Q
Fineberg, Susan
Roknsharifi, Shima
Invasive Lobular Cancer Arising in a Surgical Scar From Lumpectomy for a Previous Invasive Ductal Cancer of the Breast
title Invasive Lobular Cancer Arising in a Surgical Scar From Lumpectomy for a Previous Invasive Ductal Cancer of the Breast
title_full Invasive Lobular Cancer Arising in a Surgical Scar From Lumpectomy for a Previous Invasive Ductal Cancer of the Breast
title_fullStr Invasive Lobular Cancer Arising in a Surgical Scar From Lumpectomy for a Previous Invasive Ductal Cancer of the Breast
title_full_unstemmed Invasive Lobular Cancer Arising in a Surgical Scar From Lumpectomy for a Previous Invasive Ductal Cancer of the Breast
title_short Invasive Lobular Cancer Arising in a Surgical Scar From Lumpectomy for a Previous Invasive Ductal Cancer of the Breast
title_sort invasive lobular cancer arising in a surgical scar from lumpectomy for a previous invasive ductal cancer of the breast
topic Pathology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9558490/
https://www.ncbi.nlm.nih.gov/pubmed/36249638
http://dx.doi.org/10.7759/cureus.29054
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