Nodular Fasciitis of the Breast: A Case Report

Tulbah, Asma; Baslaim, Muna M.; Sörbris, R; Almalik, Osama; Al‐Dayel, Fouad

doi:10.1046/j.1524-4741.2003.09318.x

Cited by 22 publications

(25 citation statements)

References 7 publications

(10 reference statements)

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“…Twenty-two cases included in 20 papers, published in the period under investigation, were analyzed in detail [4,5,6,7,8,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25]. The main demographic and clinical characteristics of the enrolled patients are summarized in table 1.…”

Section: Resultsmentioning

confidence: 99%

“…Some cases in which a surgical excision was provided without a preoperative mammographic or ultrasonographic evaluation were reported; Tulbah et al [18] performed a surgical excision of a nodule diagnosed as a fibroadenoma without such evaluations. MRI and CT scan do not add consistent diagnostic information, and may be helpful in cases of soft tissue invasion, rather than as a routine evaluation.…”

Section: Discussionmentioning

confidence: 99%

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Breast Nodular Fasciitis: A Comprehensive Review

Paliogiannis¹,

Cossu²,

Palmieri³

et al. 2016

Breast Care

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Background: This article describes the demographic, clinical, pathological and prognostic features of breast nodular fasciitis through a comprehensive review of the cases reported in modern literature. Material and Methods: English-language articles published from January 1970 to October 2015 and related to breast nodular fasciitis were non-systematically retrieved using the PubMed database. Titles, abstracts and references were evaluated in order to include the most relevant studies. The demographic characteristics of the patients and the signs and symptoms of the disease were reviewed, as well as the results of the radiological and diagnostic procedures employed and of the treatments adopted. Results: 26 papers reporting on 28 cases were enrolled; however, manuscripts published before 1990 were excluded because of old methodologies, technologies and clinical approaches. Thus, 22 cases included in 20 papers were analyzed in detail. Conclusion: The rarity and the unspecific clinical and radiological characteristics of breast nodular fasciitis make the differential diagnosis and management challenging. Knowledge of the clinical, pathological and prognostic aspects of this condition is crucial for breast care specialists in order to improve their diagnostic and therapeutic interventions.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Breast Nodular Fasciitis: A Comprehensive Review

Paliogiannis¹,

Cossu²,

Palmieri³

et al. 2016

Breast Care

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“…The etiopathogenesis of NF is unknown. However, it is believed that local injury may trigger the fibroblastic proliferation [3,[6][7][8]. The history of trauma was elicited in no more than 10-15% of patients [4].…”

Section: Discussionmentioning

confidence: 99%

“…Mammography reveals an irregular, often spiculated lesion and ultrasonography detects an infiltrative mass without a capsule [1,3,6]. These suspicious imaging features of NF are alarming enough for a breast carcinoma [1,4,6].…”

Section: Discussionmentioning

confidence: 99%

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Nodular Fasciitis of the Breast Previously Misdiagnosed as Breast Carcinoma

Ozben

Aydoğan²,

Karaca³

et al. 2009

Breast Care

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Background: Nodular fasciitis of the breast is a rare be-nign pathology that can mimic breast cancer clinically, radiologically, and histopathologically. Case Report: An 18-year-old female patient had first visited a physician in a different center with the complaint of a lump in her left breast. Breast examination had revealed a palpable mass located in the left upper outer quadrant. Ultrasonography had demonstrated a hypo-echoic lesion. Excisional biopsy of the lump had been performed and histopathologic examination misdiagnosed this lump as a mesenchymal tumor. The patient was then referred to our clinic for further investigations. Pathologic revision was performed and the diagnosis of nodular fasciitis of the breast was established. Conclusion: Awareness of this rare clinical entity, nodular fasciitis, in the breast eliminates the misdiagnosis of breast cancer.

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Fine needle aspiration cytology of nodular fasciitis of the breast

Sakuma¹,

Matsuo

Koike³

et al. 2014

Diagnostic Cytopathology

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We report a case of nodular fasciitis (NF) of the breast, which was cytologically diagnosed as a spindle cell proliferation with undetermined malignant potential. Owing to small size of the lesion (5.9 × 3.7 × 4.1 mm), only fine needle aspiration (FNA) cytology was performed under ultrasound guidance. The FNA smears were cellular, rich in single/clustered spindle cells but mammary ductal epithelial/myoepithelial cells were absent. These cytologic findings suggested spindle cell growth of mesenchymal origin. Pattern-less arrangement of spindle cells, heterogeneous composition of the stromal matrix, lack of nuclear/cellular atypia, occasional mitosis but no aberrant mitotic figures, and lymphocyte infiltration indicated reactive rather than neoplastic nature of the lesion. Nonetheless, lumpectomy was conducted because the possibility of neoplasm was not completely ruled out. The histologic diagnosis of the resected nodule was NF. FNA specimens were reviewed thoroughly in an attempt to define the key cytomorphologic features of NF that are important for the correct diagnosis. Differential diagnoses from the lesions that show similar cytologic pictures are discussed in detail. Although NF arising from the breast is rare, cytopathologists should be aware of its clinical and cytopathologic characteristics. Knowledge of the possibility of NF in the breast and its cytologic findings may help cytopathologists to discern its reactive, not neoplastic, characteristics of the lesion. If the referring surgeon is alerted NF as a possibility along with other differential diagnoses, close observation would become a management option. In-depth discussion of cytologic features and a review of the pertinent literature are also included.

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Nodular Fasciitis of the Breast: A Case Report

Cited by 22 publications

References 7 publications

Breast Nodular Fasciitis: A Comprehensive Review

Breast Nodular Fasciitis: A Comprehensive Review

Nodular Fasciitis of the Breast Previously Misdiagnosed as Breast Carcinoma

Fine needle aspiration cytology of nodular fasciitis of the breast

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