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Growing concern following compression mammography.

Johannes Pieter van Netten1, Stephen Hoption Cann2, Ian Thornton1

  • 1Department of Biology, University of Victoria, Victoria, British Columbia, Canada.

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Mammography compression may have influenced the aggressive progression of an undiagnosed breast cancer, leading to a rare inflammatory carcinoma. This case highlights the need to consider mechanical forces in tumor development and progression.

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Area of Science:

  • Oncology
  • Radiology
  • Pathology

Background:

  • Mammography is a standard screening tool for breast cancer.
  • Undiagnosed breast cancer can exist without clinical symptoms.

Observation:

  • A patient developed intense pain, swelling, and a hematoma after mammography compression.
  • A large mass developed three months later, diagnosed as necrotizing high-grade ductal carcinoma.
  • The tumor was an aggressive, HER2-positive inflammatory carcinoma (Stage IIIC).

Findings:

  • The patient experienced rapid tumor progression and recurrence despite chemotherapy, trastuzumab, and radiotherapy.
  • The tumor was oestrogen and progesterone receptor negative, but highly HER2 positive.
  • The patient died from progressive disease two years after diagnosis.

Implications:

  • This case raises questions about the potential influence of mammography compression on the natural history of undiagnosed breast cancer.
  • Further research is needed to understand the biomechanical effects of mammography on tumor behavior.
  • Consideration of mechanical stress in tumor development may offer new perspectives in oncology.