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Metaplastic Carcinoma of the Breast: Clinical, Mammographic, and Sonographic Findings with Histopathologic Correlation

Iil Günhan-Bilgen¹, Ayenur Memi¹, Esin Emin Üstün¹, Osman Zekioglu² and Necmettin Özdemir²

¹ Department of Radiology, Ege Üniversity Hospital, Bornova, 35100 Izmir, Turkey.
² Department of Pathology, Ege Üniversity Hospital, 35100 Izmir, Turkey.

View larger version (95K): [in a new window]   Fig. 1A. —53-year-old woman with a rapidly growing 5-cm palpable left breast mass and bloody nipple discharge. Craniocaudal mammogram shows 4.5-cm high-density mass in left inner hemisphere. Posterior margin (small arrow) of mass is ill-defined, whereas anterior margin (large arrow) is obscured by fibroglandular tissue and cannot be defined.

View larger version (102K): [in a new window]   Fig. 2A. —48-year-old woman with 2-cm, firm, mobile, and palpable left breast mass. Mediolateral oblique mammogram shows microlobulated, 2-cm round mass (arrows).

View larger version (105K): [in a new window]   Fig. 3A. —63-year-old woman with 2-cm palpable left breast mass. Craniocaudal mammogram shows microlobulated, round mass (arrows).

View larger version (111K): [in a new window]   Fig. 3B. —63-year-old woman with 2-cm palpable left breast mass. Microlobulation of margins is better shown on spot mammogram.

View larger version (110K): [in a new window]   Fig. 2B. —48-year-old woman with 2-cm, firm, mobile, and palpable left breast mass. Transverse sonogram shows round, solid mass with homogeneous echogenicity and microlobulated margins (arrow).

View larger version (99K): [in a new window]   Fig. 3C. —63-year-old woman with 2-cm palpable left breast mass. Transverse sonogram shows microlobulated hypoechoic solid mass.

View larger version (102K): [in a new window]   Fig. 1B. —53-year-old woman with a rapidly growing 5-cm palpable left breast mass and bloody nipple discharge. Transverse sonogram shows mass with irregular margins and heterogenous echogenicity. Mass has both solid (small arrow) and cystic (large arrow) components.

View larger version (137K): [in a new window]   Fig. 2C. —48-year-old woman with 2-cm, firm, mobile, and palpable left breast mass. Photomicrograph shows mammarian ductulus on left side. On right side, metaplastic breast carcinoma and squamous cell groups can be seen. (H and E, x200)

View larger version (116K): [in a new window]   Fig. 2D. —48-year-old woman with 2-cm, firm, mobile, and palpable left breast mass. Photomicrograph shows squamous differentiation areas in metaplastic breast carcinoma. (H and E, x400)

View larger version (126K): [in a new window]   Fig. 3D. —63-year-old woman with 2-cm palpable left breast mass. Photomicrograph shows admixture of cohesive carcinoma cells and malignant stromal spindle cells. (H and E, x200)

View larger version (139K): [in a new window]   Fig. 3E. —63-year-old woman with 2-cm palpable left breast mass. Photomicrograph shows spindle cells in metaplastic carcinoma. (H and E, x400)

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