Melanoma Metastasis to the Breast Masquerading as Fibroadenoma

Background: Although primary malignant breast lesions are common, tumor metastasis to the breast is rare. Melanoma metastasis to the breast occurs even more rarely. Case: In the present case report, we describe an adolescent girl with malignant melanoma metastasis to the breast masquerading as fibro...

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Veröffentlicht in:Gynecologic and obstetric investigation 2006-01, Vol.62 (2), p.97-99
Hauptverfasser: da Silva, Benedito Borges, da Silva Jr, Raimundo Gerônimo, Lopes Costa, Pedro Vitor, Pires, Cleicilene Gomes, da Silva Pinheiro, Gevina
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container_end_page 99
container_issue 2
container_start_page 97
container_title Gynecologic and obstetric investigation
container_volume 62
creator da Silva, Benedito Borges
da Silva Jr, Raimundo Gerônimo
Lopes Costa, Pedro Vitor
Pires, Cleicilene Gomes
da Silva Pinheiro, Gevina
description Background: Although primary malignant breast lesions are common, tumor metastasis to the breast is rare. Melanoma metastasis to the breast occurs even more rarely. Case: In the present case report, we describe an adolescent girl with malignant melanoma metastasis to the breast masquerading as fibroadenoma, in which it was impossible to perform differential diagnosis based only on the physical examination and ultrasonographic evaluation. The definitive diagnosis both of the primary and of the metastatic lesion was reached by immunohistochemistry, which revealed positivity to Mart-1 antibody. Conclusion: Melanoma metastasizing to the breast is occasionally indistinguishable from a benign lesion at ultrasonographic evaluation. Emphasis should be made on the importance of a correct diagnosis prior to therapeutic management.
doi_str_mv 10.1159/000092826
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Melanoma metastasis to the breast occurs even more rarely. Case: In the present case report, we describe an adolescent girl with malignant melanoma metastasis to the breast masquerading as fibroadenoma, in which it was impossible to perform differential diagnosis based only on the physical examination and ultrasonographic evaluation. The definitive diagnosis both of the primary and of the metastatic lesion was reached by immunohistochemistry, which revealed positivity to Mart-1 antibody. Conclusion: Melanoma metastasizing to the breast is occasionally indistinguishable from a benign lesion at ultrasonographic evaluation. 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subjects Adolescent
Biological and medical sciences
Breast Neoplasms - diagnosis
Breast Neoplasms - diagnostic imaging
Breast Neoplasms - secondary
Breast Neoplasms - surgery
Case Report
Dermatology
Diagnosis, Differential
Female
Fibroadenoma - diagnosis
Fibroadenoma - diagnostic imaging
Fibroadenoma - surgery
Gynecology. Andrology. Obstetrics
Humans
Immunohistochemistry
Mammary gland diseases
Medical sciences
Melanoma - diagnosis
Melanoma - secondary
Skin Neoplasms - pathology
Thigh
Tumors
Tumors of the skin and soft tissue. Premalignant lesions
Ultrasonography
title Melanoma Metastasis to the Breast Masquerading as Fibroadenoma
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