[Breast hematoma masking a sarcoma].
A Relea Sarabia1, S Bahamonde Cabria1, M González Rebollo1
1Servicio de Radiodiagnóstico, Complejo Asistencial Universitario de Palencia, España.
Radiologia
|July 11, 2015
Summary
Breast sarcomas are rare. A rapidly growing lump initially suspected as a hematoma due to trauma was diagnosed as malignant fibrous histiocytoma, highlighting the need for vigilance with atypical breast lesions.
Area of Science:
- Oncology
- Pathology
Background:
- Breast sarcomas are rare, comprising less than 1% of malignant breast tumors.
- Malignant fibrous histiocytoma is a rare type of sarcoma that can occur in the breast.
Observation:
- A case presented with a breast lump initially suspected to be a hematoma, linked to trauma.
- Clinical, sonographic, and cytologic findings supported the initial hematoma diagnosis.
- The lesion demonstrated rapid growth, with follow-up sonography revealing hypervascular solid components.
Findings:
- The atypical presentation mimicked a hematoma, complicating early diagnosis.
- The lesion was ultimately diagnosed as a malignant fibrous histiocytoma of the breast.
- Rapid growth and hypervascularity were key indicators of malignancy.
Implications:
- Lesions initially suspected as hematomas, especially those with rapid growth or atypical features, require careful evaluation.
- Prompt short-term follow-up and biopsy are crucial for lesions not behaving like typical hematomas.
- This case underscores the importance of considering rare diagnoses like sarcoma in the differential of breast lumps.
