PMC5697995_01
Left breast ultrasound shown (A) a hypoechoic coarse distortion with irregular margins and "more tall than wide"-like aspect. (B) noted the presence of the needle biopsy,represented by the hyperechoic central line inside the lesion. (C) Only a small peripheral signal was higjlighted at the color-doppler exam.
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At the Rt (right) breast, in the LOQ (lower outer quadrat), another suspicious area of distortion is documented, which was difficult to measure [Fig. 1].
Final Histopathology exam of the lesion which shows; (A) poorly circumscribed lesion which tended to infiltrate the surronding tissue. (B) The proliferation consists of elongated,slende,spindle-shaped cells of uniform appearance surronded and separeted from one another by abundant collagen. (C) Glassy keloid-like collagen fibers or extensive hyalinization is present and may obscure the basic pattern of the lesion.
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Frontal view of both breasts 3 months after the excision of the lesion. At the left breast noted a skin dimpling overlying the newly developed nodule.
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Physical Examination showed a hard nodule, moderately mobile, with an overlying dimpling of the skin [Fig. 3, Fig. 4].
A 3 months postoperative breast ultrasound shown (A) Hypoechoic pseudo-nodular area with irregular and unclear margins, "more tall than wide" and with a significant attenuation of the ultrasound beam with acoustic posterior shadows, (B) the lesion did not shown significant color-doppler signal.
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Repeated follow up ultrasound of the breast showed a hypoechogenic area with dyshaemogenic structure with a maximum diameter of 23 mm, the same characteristics of the previous lesion in the LOQ which was excised for a Fibromatosis [Fig. 5].