Invasive papillary carcinoma of the breast presenting as post-traumatic recurrent hemorrhagic cysts.
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.
Ko
Kyung Hee
KH
Department of Diagnostic Radiology, Pocheon CHA University College of Medicine, Gyeonggi, Korea.
Kim
Eun-Kyung
EK
Park
Byeong-Woo
BW
D001943:Breast Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging; D002291:Carcinoma, Papillary / Q000175:diagnosis* / Q000000981:diagnostic imaging; D003560:Cysts / Q000175:diagnosis* / Q000000981:diagnostic imaging; D003937:Diagnosis, Differential; D005260:Female; D006470:Hemorrhage / Q000175:diagnosis* / Q000000981:diagnostic imaging; D006801:Humans; D008207:Lymphatic Metastasis; D008327:Mammography / Q000379:methods; D008875:Middle Aged; D012008:Recurrence; D016217:Ultrasonography, Mammary / Q000379:methods