Intraparenchymal breast leiomyoma and atypical leiomyoma.


Journal

BMC women's health
ISSN: 1472-6874
Titre abrégé: BMC Womens Health
Pays: England
ID NLM: 101088690

Informations de publication

Date de publication:
14 04 2022
Historique:
received: 25 09 2021
accepted: 05 04 2022
entrez: 15 4 2022
pubmed: 16 4 2022
medline: 19 4 2022
Statut: epublish

Résumé

Breast leiomyoma is a rare benign mesenchymal tumor, accounting for less than 1% of all breast neoplasms. Cases of breast atypical leiomyoma is even more rarely reported and its diagnostic criteria together with its clinical courses is not cleared defined. We described two patients with breast leiomyomas. One has unilateral benign breast leiomyoma, the other one has bilateral breast leiomyomas. For the bilateral case, the left-side tumor was diagnosed as benign leiomyoma while the right-side tumor was diagnosed as atypical leiomyoma. The morphological features that lead to the diagnosis of atypical leiomyoma are its invasive growth pattern, mild nuclear atypia, and mitotic figures up to 3mitoses/10HPF. Atypical breast leiomyoma appears to behave like benign leiomyoma without recurrence in our study with nine-year follow-up. Due to the limited experience, cases presented as atypical intraparenchymal breast leiomyoma should be closely followed.

Sections du résumé

BACKGROUND
Breast leiomyoma is a rare benign mesenchymal tumor, accounting for less than 1% of all breast neoplasms. Cases of breast atypical leiomyoma is even more rarely reported and its diagnostic criteria together with its clinical courses is not cleared defined.
CASE PRESENTATION
We described two patients with breast leiomyomas. One has unilateral benign breast leiomyoma, the other one has bilateral breast leiomyomas. For the bilateral case, the left-side tumor was diagnosed as benign leiomyoma while the right-side tumor was diagnosed as atypical leiomyoma. The morphological features that lead to the diagnosis of atypical leiomyoma are its invasive growth pattern, mild nuclear atypia, and mitotic figures up to 3mitoses/10HPF.
CONCLUSIONS
Atypical breast leiomyoma appears to behave like benign leiomyoma without recurrence in our study with nine-year follow-up. Due to the limited experience, cases presented as atypical intraparenchymal breast leiomyoma should be closely followed.

Identifiants

pubmed: 35421983
doi: 10.1186/s12905-022-01700-6
pii: 10.1186/s12905-022-01700-6
pmc: PMC9011934
doi:

Types de publication

Case Reports Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

119

Informations de copyright

© 2022. The Author(s).

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Auteurs

Mengping Long (M)

Department of Pathology, Peking University Cancer Hospital, Beijing, China.

Xuejiao Lina Hu (XL)

Department of Pathology, Alaska Native Medical Center, Anchorage, AK, USA.

Guiyang Zhao (G)

Department of Oncology, Beijing Changping Hospital, Beijing, China.

Yiqiang Liu (Y)

Department of Pathology, Peking University Cancer Hospital, Beijing, China.

Taobo Hu (T)

Department of Breast Surgery, Peking University People's Hospital, No. 11 Xizhimen South Street, Xicheng District, Beijing, 100044, China. thuac@connect.ust.hk.

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