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Primary Desmoid Tumor (Extraabdominal Fibromatosis) of the Breast

Basak Erguvan-Dogan1, Peter J. Dempsey1, Geetha Ayyar1 and Michael Z. Gilcrease2

1 Department of Diagnostic Radiology, Breast Imaging, The University of Texas M. D. Anderson Cancer Center, 1515 Holcombe Blvd., Unit 57, Houston, TX 77030.
2 Department of Pathology, The University of Texas M. D. Anderson Cancer Center, Houston, TX 77030.



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Fig. 1A 25-year-old lactating woman with desmoid tumor of left breast. Left mediolateral oblique mammogram shows 2-cm spiculated mass in upper left breast close to pectoral muscle. Skin marker indicates lesion is palpable.

 


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Fig. 1B 25-year-old lactating woman with desmoid tumor of left breast. Sonography image shows irregular, hypoechoic mass with indistinct margins. Tumor is confined to breast parenchyma and does not involve retromammary structures.

 


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Fig. 1C 25-year-old lactating woman with desmoid tumor of left breast. Power Doppler sonography image shows increased vascularity, especially in periphery of lesion.

 


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Fig. 1D 25-year-old lactating woman with desmoid tumor of left breast. Photomicrograph shows lesion microscopically is composed of bland-appearing fibroblasts of moderate cellularity without appreciable mitotic activity. (H and E, x200)

 

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