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Breast Cancer

, Volume 25, Issue 4, pp 470–478 | Cite as

Diagnosis, characteristics, and treatment of breast carcinomas within benign fibroepithelial tumors

  • Michiyo Saimura
  • Kenichiro Koga
  • Keisei Anan
  • Shoshu Mitsuyama
  • Sadafumi Tamiya
Original Article

Abstract

Background

Breast carcinoma arising in a benign fibroepithelial tumor is rare, and is usually discovered incidentally during examination of the breast mass.

Methods

We evaluated the clinicopathological features, treatment, and prognosis of seven women with breast carcinomas within benign fibroepithelial tumors, diagnosed and treated at a single institution between 2011 and 2015.

Results

Seven women, aged 21–64 years, visited our hospital complaining of a breast mass detected by self-checking or screening examination. All patients had well-demarcated movable breast masses. Ultrasonography showed circumscribed masses suggesting benign tumors in all cases, and mammography revealed well-defined, high-density masses, with or without calcification. The masses progressed in two patients. A preoperative histological diagnosis of carcinoma was made following needle biopsy in four patients. Tumorectomy, breast-conserving surgery, and mastectomy were performed in three, two, and two patients, respectively. One patient underwent lymph node dissection and another underwent sentinel node biopsy. Histologically, the masses were diagnosed as invasive ductal carcinoma, ductal carcinoma in situ or lobular carcinoma in situ, arising in a benign phyllodes tumor, fibroadenoma, or fibroadenomatoid mastopathy. Lymph node metastasis was detected in two patients. There was no recurrence in any of the patients.

Conclusions

Although a carcinoma within a preexisting benign fibroepithelial tumor is extremely rare, it is important to be aware of the possibility of invasive and metastatic disease.

Keywords

Breast carcinoma Benign fibroepithelial tumor Phyllodes tumor Fibroadenoma Fibroadenomatoid mastopathy 

Notes

Acknowledgements

We thank Susan Furness, Ph.D., from Edanz Group (https://www.edanzediting.com/ac) for editing a draft of this manuscript.

Compliance with ethical standards

Conflict of interest

The authors have no conflict of interest.

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Copyright information

© The Japanese Breast Cancer Society 2018

Authors and Affiliations

  1. 1.Department of SurgeryKitakyushu Municipal Medical CenterKitakyushuJapan
  2. 2.Department of PathologyKitakyushu Municipal Medical CenterKitakyushuJapan

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