Primary breast osteosarcoma mimicking calcified fibroadenoma on screening digital breast tomosynthesis mammogram

Debbie Lee Bennett, Gloria Merenda, Stephanie Schnepp, Mary Catherine Lowdermilk

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

Primary breast osteosarcoma is a rare malignancy, with mostly case reports in the literature. The appearance of breast osteosarcoma on digital breast tomosynthesis imaging has not yet been described. A 69-year-old woman presents for routine screening mammography and is found to have a calcified mass in her right breast. Pattern of calcification appeared “sunburst” on digital breast tomosynthesis images. This mass was larger than on the previous year's mammogram, at which time it had been interpreted as a benign calcified fibroadenoma. The subsequent workup demonstrated the mass to reflect primary breast osteosarcoma. The patient's workup and treatment are detailed in this case. Primary breast osteosarcoma, although rare, should be included as a diagnostic consideration for breast masses with a sunburst pattern of calcifications, particularly when the mammographic appearance has changed.

Original languageEnglish
Pages (from-to)648-652
Number of pages5
JournalRadiology Case Reports
Volume12
Issue number4
DOIs
StatePublished - Dec 2017

Keywords

  • Breast cancer
  • Fibroadenoma
  • Mammogram
  • Primary osteosarcoma
  • Tomosynthesis

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