First Vacuum-Assisted Excision of a Breast Myofibroblastoma
A 52-year-old lady was seen in the breast clinic after an 8 mm lesion was found in her left breast on screening mammogram. Clinical examination was normal. The left breast mammogram showed an 8 mm rounded density posteriorly in the inner half of breast and ultrasound also showed a 7 mm, well-defined...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2019/5242191 |
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| author | B. Fakim A. Abbas M. Crotch-Harvey J. Kokan |
| author_facet | B. Fakim A. Abbas M. Crotch-Harvey J. Kokan |
| author_sort | B. Fakim |
| collection | DOAJ |
| description | A 52-year-old lady was seen in the breast clinic after an 8 mm lesion was found in her left breast on screening mammogram. Clinical examination was normal. The left breast mammogram showed an 8 mm rounded density posteriorly in the inner half of breast and ultrasound also showed a 7 mm, well-defined ovoid echogenic lesion (R3, U3). Biopsy confirmed the lesion was fibro-fatty tissue containing a diffuse infiltrate of lymphoid cells macroscopically (B3/4)—findings in line with a diagnosis of a myofibroblastoma. A myofibroblastoma is a rare benign mesenchymal tumour comprising of spindle cells. Most breast myofibroblastomas described in the literature have been excised by wide local excision. In this patient’s case, a vacuum-assisted technique was discussed and suggested at the multidisciplinary meeting. It was excised using ultrasound-guided Vacora® breast biopsy system. The lesion was completely excised with the encore biopsy measuring 24×17 mm. This is the first documented case of such a technique for the excision of a breast myofibroblastoma. There still is uncertainty about breast myofibroblastomas, their aetiology, associations, and how they are best investigated. Regarding management, vacuum-assisted technique, being less invasive and cheaper than local excisions, is adequate for small lesions. |
| format | Article |
| id | doaj-art-759eec3175ba4232929f338795a9c84f |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-759eec3175ba4232929f338795a9c84f2025-02-03T01:10:40ZengWileyCase Reports in Surgery2090-69002090-69192019-01-01201910.1155/2019/52421915242191First Vacuum-Assisted Excision of a Breast MyofibroblastomaB. Fakim0A. Abbas1M. Crotch-Harvey2J. Kokan3East Cheshire NHS Trust, Macclesfield District General Hospital, Macclesfield SK10 3BL, UKEast Cheshire NHS Trust, Macclesfield District General Hospital, Macclesfield SK10 3BL, UKEast Cheshire NHS Trust, Macclesfield District General Hospital, Macclesfield SK10 3BL, UKEast Cheshire NHS Trust, Macclesfield District General Hospital, Macclesfield SK10 3BL, UKA 52-year-old lady was seen in the breast clinic after an 8 mm lesion was found in her left breast on screening mammogram. Clinical examination was normal. The left breast mammogram showed an 8 mm rounded density posteriorly in the inner half of breast and ultrasound also showed a 7 mm, well-defined ovoid echogenic lesion (R3, U3). Biopsy confirmed the lesion was fibro-fatty tissue containing a diffuse infiltrate of lymphoid cells macroscopically (B3/4)—findings in line with a diagnosis of a myofibroblastoma. A myofibroblastoma is a rare benign mesenchymal tumour comprising of spindle cells. Most breast myofibroblastomas described in the literature have been excised by wide local excision. In this patient’s case, a vacuum-assisted technique was discussed and suggested at the multidisciplinary meeting. It was excised using ultrasound-guided Vacora® breast biopsy system. The lesion was completely excised with the encore biopsy measuring 24×17 mm. This is the first documented case of such a technique for the excision of a breast myofibroblastoma. There still is uncertainty about breast myofibroblastomas, their aetiology, associations, and how they are best investigated. Regarding management, vacuum-assisted technique, being less invasive and cheaper than local excisions, is adequate for small lesions.http://dx.doi.org/10.1155/2019/5242191 |
| spellingShingle | B. Fakim A. Abbas M. Crotch-Harvey J. Kokan First Vacuum-Assisted Excision of a Breast Myofibroblastoma Case Reports in Surgery |
| title | First Vacuum-Assisted Excision of a Breast Myofibroblastoma |
| title_full | First Vacuum-Assisted Excision of a Breast Myofibroblastoma |
| title_fullStr | First Vacuum-Assisted Excision of a Breast Myofibroblastoma |
| title_full_unstemmed | First Vacuum-Assisted Excision of a Breast Myofibroblastoma |
| title_short | First Vacuum-Assisted Excision of a Breast Myofibroblastoma |
| title_sort | first vacuum assisted excision of a breast myofibroblastoma |
| url | http://dx.doi.org/10.1155/2019/5242191 |
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