DUCTAL CARCINOMA INSITU SITUATED INSIDE A FIBROADENOMA: A CASE REPORT


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Manukyan M. N., Deveci U., Kebudi A., Midi A., Yener N., Celik L.

Journal of Breast Health, cilt.8, sa.4, ss.204-205, 2012 (Hakemli Dergi)

Özet

Fibroadenomas are tumors consisting of a fibrous stroma without cytologic

atypia and ductal carcinoma insitu is a malign epitelial proliferation limited

within the breast ducts. A 21 years old patient was operated by her choice

with the ultrasonographic diagnosis of a 27*16 mm fibroadenoma. The pahtological

evaluation detected ductal carcinoma insitu situated inside the fibroadenoma.

Some authorities prefer to enucleate the fibroadenomas while the others

prefer a diagnostic biopsy and a long term follow up because fibroadenomas

are usually detected in young women at ages that cancer is rarely

diagnosed. Although ductal carcinoma insitu situated inside fibroadenomas

has been reported before the treatment is controversial. Local

excision with radiotherapy is the most popular choice. But in our case

the ductal carcinoma insitu was totally inside the adenoma and regarding

the side effects in such a young age radiotherapy was ommited. The

follow up of the other fibroadenomas detected by magnetic resonance

imaging is also contoversial