Yonsei Med J.  2006 Aug;47(4):575-577. 10.3349/ymj.2006.47.4.575.

Invasive Papillary Carcinoma of the Breast Presenting as Post-Traumatic Recurrent Hemorrhagic Cysts

• Ko KH
• Kim EK
• Park BW

• KMID: 1779510
• DOI: http://doi.org/10.3349/ymj.2006.47.4.575

Abstract

We report the sonographic features of an intracystic papillary carcinoma of the breast presenting as recurrent hemorrhagic cysts following trauma. A 56-year-old woman presented with palpable breast masses after a traumatic event; sonography showed multiple, well-defined, hemorrhagic cysts. Hemorrhagic fluid was evacuated by fine needle aspiration with no residual lesions. Cytology was negative for malignancy. Five months later, the mass reappeared; sonography demonstrated multiple cysts with solid nodules. US-guided core biopsy and surgery revealed invasive papillary carcinoma. We suggest close follow-up of cystic masses, even with negative cytology, and performance of surgical excisional biopsy in cases of rapid refilling after aspiration.

Keyword

Breast neoplasms; diagnosis; breast; ultrasonogram; breast; cysts

MeSH Terms

Ultrasonography, Mammary/methods
Recurrence
Middle Aged
Mammography/methods
Lymphatic Metastasis
Humans
Hemorrhage/*diagnosis/ultrasonography
Female
Diagnosis, Differential
Cysts/*diagnosis/ultrasonography
Carcinoma, Papillary/*diagnosis/ultrasonography
Breast Neoplasms/*diagnosis/ultrasonography

Figure

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  Fig. 1 (A) Mammogram. Both mediolateral oblique (a) and craniocaudal mammogram (b) showed multiple round shape masses with well-defined margins in the subareolar area and upper outer quadrant of the right breast. (B) Ultrasonogram. The initial sonogram shows well-circumscribed cystic masses with echogenic floating debris (arrows) at the subareolar (a) and upper outer quadrant (b) of the right breast. Sonograms obtained at 5 month follow up. Cystic mass size was markedly increased, with irregular shaped soft tissue (arrows) along the cyst walls (c). The blood flow signals of the papillary solid portion are shown on color Doppler sonography (d).

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