title: Juvenile myelomonocytic leukemia presenting as bilateral breast masses.
abstract: An 8-year-old girl presented with bilateral breast masses and was subsequently diagnosed with juvenile myelomonocytic leukemia. Juvenile myelomonocytic leukemia is a rare myelodysplastic syndrome that typically presents in boys younger than 3 years of age with splenomegaly, lymphadenopathy and skin findings. Bilateral breast masses in a child are rare and, as such, present a diagnostic dilemma due to the relative paucity of cases in the literature. We present a case of granulocytic sarcoma of the breasts in a patient with juvenile myelomonocytic leukemia. The authors hope that increased reporting and research regarding pediatric breast masses will help create awareness for such cases.
authors.affiliation: Department of Radiology, Florida Hospital, 601 E. Rollins St., Orlando, FL, 32803, USA. Michele.Edison.MD@flhosp.org.|University of Central Florida College of Medicine, Orlando, FL, USA. Michele.Edison.MD@flhosp.org.
authors.forename: Michele N
authors.initials: MN
authors.lastname: Edison
authors.affiliation: University of Central Florida College of Medicine, Orlando, FL, USA.|Pediatric Radiology, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
authors.forename: M Cody
authors.initials: MC
authors.lastname: O'Dell
authors.affiliation: Department of Radiology, Florida Hospital, 601 E. Rollins St., Orlando, FL, 32803, USA.|University of Central Florida College of Medicine, Orlando, FL, USA.
authors.forename: Haley P
authors.initials: HP
authors.lastname: Letter
authors.affiliation: Department of Radiology, Florida Hospital, 601 E. Rollins St., Orlando, FL, 32803, USA.|University of Central Florida College of Medicine, Orlando, FL, USA.|Florida State University College of Medicine, Tallahassee, FL, USA.
authors.forename: Kurt
authors.initials: K
authors.lastname: Scherer
authors.affiliation: Department of Radiology, Florida Hospital, 601 E. Rollins St., Orlando, FL, 32803, USA.|University of Central Florida College of Medicine, Orlando, FL, USA.|Florida State University College of Medicine, Tallahassee, FL, USA.
authors.forename: Jennifer L
authors.initials: JL
authors.lastname: Williams
mesh_terms: D001943:Breast Neoplasms / Q000000981:diagnostic imaging* / Q000628:therapy; D002648:Child; D003287:Contrast Media; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D054429:Leukemia, Myelomonocytic, Juvenile / Q000000981:diagnostic imaging* / Q000628:therapy; D008279:Magnetic Resonance Imaging; D016217:Ultrasonography, Mammary
chemical_list: D003287:Contrast Media
keywords: Breast; Child; Juvenile myelomonocytic leukemia; Magnetic resonance imaging; Mass; Ultrasound