Metastatic embryonal rhabdomyosarcoma of the breast: A case report and literature review

被引:0
|
作者
Ma, Xuejin [1 ]
Chen, Xiaoxi [2 ]
Jiang, Guoyuan [3 ]
Jiang, Lin [1 ]
Li, Tingchao [4 ]
Wei, Ling [1 ]
Li, Shiguang [1 ]
机构
[1] Zunyi Med Univ, Affiliated Hosp 3, Peoples Hosp Zunyi 1, Dept Radiol, 98 Feng Huang Lu, Zunyi 563000, Guizhou, Peoples R China
[2] Zunyi Med Univ, Affiliated Hosp, Dept Radiol, Zunyi, Guizhou, Peoples R China
[3] Zunyi Med Univ, Affiliated Hosp 3, Peoples Hosp Zunyi 1, Dept Breast Surg, Zunyi, Guizhou, Peoples R China
[4] Zunyi Med Univ, Affiliated Hosp 3, Peoples Hosp Zunyi 1, Dept Pathol, Zunyi, Guizhou, Peoples R China
来源
BREAST JOURNAL | 2021年 / 27卷 / 12期
关键词
breast metastases; embryonal rhabdomyosarcoma; magnetic resonance imaging; CHILDREN; ADOLESCENTS; EXPERIENCE;
D O I
10.1111/tbj.14284
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Rhabdomyosarcoma (RMS) is a common malignancy in children, but embryonal rhabdomyosarcoma (ERMS) deposits rarely occur in the breast in adults. Therefore, little is known about magnetic resonance imaging (MRI) features of breast metastases from RMS, especially the embryonal type. We reported a case of a 22-year-old woman who was diagnosed with ERMS at left foot 2 years ago and accepted operation and chemotherapy. She was confirmed to have breast metastases from the left foot. Successive imaging examinations were performed 3 months apart. Breast ultrasound indicated a benign lesion, and further examination did not reveal any bone metastases. However, predominant restricted diffusion and rim contrast enhancement on MRI combined with the patient's medical history suggested a malignancy of BI-RADS 5. After 3 months, breast ultrasound revealed masses detected last time became larger and lobulated. In addition, internal heterogeneous intensity and rim contrast enhancement with restricted diffusion were revealed on MRI. We speculated that typical MRI findings of breast metastases from RMS may include iso- to hypointensity on T1WI, heterogeneous hyperintensity on T2WI, and circular enhancement with restricted diffusion. Moreover, mild peritumoral edema, rapid expansion of necrosis, and ascending time-intensity curve detected on MRI may be features of the ERMS type.
引用
收藏
页码:890 / 894
页数:5
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