J Korean Soc Radiol.
2023 May;84(3):763-769. 10.3348/jksr.2022.0014.
Primary Malignant Melanoma of the Breast Presenting as a Breast Abscess: A Case Report
- Affiliations
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- 1Department of Radiology, Dankook University Hospital, Dankook University College of Medicine, Cheonan, Korea
- 2Department of Surgery, Dankook University Hospital, Dankook University College of Medicine, Cheonan, Korea
- 3Department of Pathology, Dankook University Hospital, Dankook University College of Medicine, Cheonan, Korea
- 4Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
- KMID: 2542915
- DOI: http://doi.org/10.3348/jksr.2022.0014
Abstract
- Primary malignant melanoma in breast parenchyma (PMB) is an extremely rare disease, and the most common presentation is a palpable breast lump. To the best of our knowledge, a case of PMB presenting as a breast abscess has not been reported in English literatures. We present a case of PMB that manifested as a recurrent breast abscess in a 71-year-old woman. On MRI, an enhancing solid mass with a cystic or necrotic portion was revealed with some high signal intensities on precontrast-enhanced T1-weighted images and a dark rim on T2-weighed images. The MRI features played a pivotal role in identifying the underlying malignant condition and making an accurate diagnosis of this rare case of PMB with unusual clinical presentation.
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