Atypical evolution of a calcified lipid cyst presenting spontaneously as a suspicious cluster of microcalcifications

We report an infrequent mammographic case in which a gross-calcified lipid cyst evolved spontaneously to form a cluster of pleomorphic microcalcifications which were indistinguishable from those seen in breast cancer. The biopsy performed was consistent with fat necrosis. Ultrasonography of the spec...

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Bibliographic Details
Published in:European radiology 2002-05, Vol.12 (5), p.1100-1103
Main Authors: Elorz, M, Pina, L, Bergaz, F, Martínez-Cuesta, A, Martínez-Miravete, P, San Julián, M, Zornoza, G, Sola, J
Format: Article
Language:English
Subjects:
Breast Neoplasms - diagnosis
Calcinosis - diagnosis
Diagnosis, Differential
Female
Fibrocystic Breast Disease - diagnosis
Humans
Lipids
Mammography
Middle Aged
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Summary:We report an infrequent mammographic case in which a gross-calcified lipid cyst evolved spontaneously to form a cluster of pleomorphic microcalcifications which were indistinguishable from those seen in breast cancer. The biopsy performed was consistent with fat necrosis. Ultrasonography of the specimen showed a nodule with mixed echogenicity surrounded by a hypoechoic rim. To our knowledge, this behavior is extremely rare, with only one similar case reported in the literature.
ISSN:0938-7994
1432-1084
DOI:10.1007/s003300101047