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DOI:10.2214/AJR.08.1537
AJR 2009; 193:W58-W63
© American Roentgen Ray Society


Clinical Observations

Invasive Micropapillary Carcinoma of the Breast: Mammographic, Sonographic, and MRI Features

Beatriz Adrada1, Elsa Arribas1, Michael Gilcrease2 and Wei Tse Yang1

1 Department of Diagnostic Radiology, The University of Texas M. D. Anderson Cancer Center, 1515 Holcombe Blvd., Unit 1350, Houston, TX 77030.
2 Department of Surgical Pathology, The University of Texas M. D. Anderson Cancer Center, Houston, TX.

OBJECTIVE. The purpose of this study was to describe the clinical, imaging, and histopathologic findings of invasive micropapillary carcinoma of the breast.

CONCLUSION. The imaging characteristics of invasive micropapillary carcinoma are highly suggestive of malignancy. The lesion is a high-density irregular mass with indistinct margins associated with microcalcifications on mammograms; a solid irregular hypoechoic mass with indistinct margins and frequent axillary nodal involvement on sonograms; and a multifocal mass on MR images. This tumor may necessitate aggressive management.

Keywords: breast • carcinoma • mammography • micropapillary • MRI • neoplasm • pathology • prognosis • sonography


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