Nodular sclerosing adenosis: Case report

Year 2019, Volume: 3 Issue: 1, 94 - 96, 27.01.2019

Emrah Doğan , Leyla Tekin Serkan Yaşar Çelik Murat Polat Marwa Mouline Doğan

https://doi.org/10.28982/josam.450534

Abstract

Sclerosing adenosis (SA) is a benign proliferative type of breast disease affecting the acinar, myoepithelial and connective tissue in the terminal ductal lobular units. Sclerosing adenosis, which gives a nodular appearance on mammography and ultrasonography, is defined as nodular sclerosing adenosis (NSA). NSA is an atypical radiological presentation of SA. Such lesions may arouse suspicions about the reliability of the diagnosis when they receive a diagnosis of SA in the needle biopsies. Therefore, it should be kept in mind that SA may rarely be seen as a nodular mass.

Keywords

Nodular sclerosing adenosis, Breast, Ultrasonography, Mammography

Nodüler sklerozan adenosis: Olgu sunumu

Abstract

Sklerozan adenozis (SA) terminal lobuler ünitte asiner, miyoepitelyal ve konnektif dokuyu etkileyen benign proliferatif tipte bir meme hastalığıdır. Mammografide ve ultrasonografide nodüler ve vizualize SA, nodüler sklerozan adenozis (NSA) olarak tanımlanır. NSA, SA’nın atipik bir radyolojik presentasyonudur. Bu tarz lezyonlar ince ve kalın iğne biyopsilerinde SA tanısı aldığında tanının güvenilirliği açısından kuşku uyandırabilir. SA’nın nadir olarak nodüler kitle şekilde görülebileceği akılda tutulmalıdır.

Keywords

Nodüler sklerozan adenozis, Meme, Ultrasonografi, Mammografi

References

• 1. Chen YL, Chen JJ, Chang C, Gao Y, Wu J, Yang VT, Gu YC. Sclerosing adenosis: Ultrasonographic and mammographic findings and correlation with histopathology. Molecular and Clinical Oncology. 2017;6:157-62.
• 2. Cyrlak D, Carpenter PM, Rawal NB. Breast imaging case of the day. RadioGraphics. 1999;19:245-7.
• 3. Franquet T, De Miguel C, Cozcolluela R, Donoso L. Spiculated lesions of the breast: mammographic-pathologic correlation. RadioGraphics. 1993;13:841–52.
• 4. Gunhan-Bilgen I, Memis A, Ustun EE et al. Sclerosing adenosis: mammographic and ultrasonographic findings with clinical and histopathological correlation. Eur J Radiol. 2002;44:232–8.
• 5. Visscher DW, Nassar A, Degnim AC, et al. Sclerosing adenosis and risk of breast cancer. Breast Cancer Res Treat. 2014;144:205–12.
• 6. Haagensen CD. Diseases of the breast. Edited by 3rd ed. Philadelphia: WB Saunders. 1986.pp.106-117.
• 7. Tavassoli FA. Pathology of the breast. Edited by Norwalk, CT: Appleton and Lange, 1992. pp.93-97.
• 8. Pandey V, Kumar KM, Shanker VH, Indira V. Sclerosing adenosis clinically feigning as carcinoma breast: A case report. IAIM. 2015;2(9):148-51.
• 9. Jensen RA, Page DL, Dupont WD, Rogers LW. Invasive breast cancer risk in women with sclerosing adenosis. Cancer. 1989;64:1977-83.
• 10. Cucci E, Santoro A, Di Gesu J, Di Cerce R, Sallistio G. Sclerosing adenosis of the breast: report of two cases and review of the literature. Pol J Radiol. 2015;80:122–7.