Skip to main content
Top
Published in: World Journal of Surgical Oncology 1/2006

Open Access 01-12-2006 | Case report

Fibromatosis (desmoid tumor) of the breast mimicking a case of ipsilateral metachronous breast cancer

Authors: Stephen P Povoski, Rafael E Jimenez

Published in: World Journal of Surgical Oncology | Issue 1/2006

Login to get access

Abstract

Background

Fibromatosis or desmoid tumor of the breast is an extremely rare entity. While it lacks a metastatic potential, it can grow aggressively in a locally infiltrating pattern. The failure to recognize this as a finite entity within the breast can lead to local recurrence after incomplete excision.

Case presentation

We report a case of a 70 year old patient with a remote history of invasive breast cancer (treated twelve years earlier by lumpectomy, axillary lymph node dissection, postoperative radiation therapy, and five years of tamoxifen) who developed fibromatosis within another quadrant of the same breast that clinically, mammographically, and sonographically mimicked that of the development of an ipsilateral metachronous breast cancer. After the initial diagnosis of fibromatosis was made on a minimally invasive ultrasound guided biopsy, it was successfully treated by wide local excision.

Conclusion

After appropriate recognition, wide local excision can be the appropriate surgical management strategy for fibromatosis of the breast.
Appendix
Available only for authorised users
Literature
1.
go back to reference Kalisher L, Long JA, Peyster RG: Extra-abdominal desmoid of the axillary tail mimicking breast carcinoma. Am J Roentgenol. 1976, 126: 903-906.CrossRef Kalisher L, Long JA, Peyster RG: Extra-abdominal desmoid of the axillary tail mimicking breast carcinoma. Am J Roentgenol. 1976, 126: 903-906.CrossRef
2.
go back to reference Rosen Y, Papasozomenos SC, Gardner B: Fibromatosis of the breast. Cancer. 1978, 41: 1409-1413. 10.1002/1097-0142(197804)41:4<1409::AID-CNCR2820410428>3.0.CO;2-D.CrossRefPubMed Rosen Y, Papasozomenos SC, Gardner B: Fibromatosis of the breast. Cancer. 1978, 41: 1409-1413. 10.1002/1097-0142(197804)41:4<1409::AID-CNCR2820410428>3.0.CO;2-D.CrossRefPubMed
3.
go back to reference Ali M, Fayemi AO, Braun EV, Remy R: Fibromatosis of the breast. Am J Surg Pathol. 1979, 3: 501-505.CrossRefPubMed Ali M, Fayemi AO, Braun EV, Remy R: Fibromatosis of the breast. Am J Surg Pathol. 1979, 3: 501-505.CrossRefPubMed
4.
go back to reference Jewett ST, Mead JH: Extra-adominal desmoid arising from a capsule around a silicone breast implant. Plast Reconstr Surg. 1979, 63: 577-579.CrossRefPubMed Jewett ST, Mead JH: Extra-adominal desmoid arising from a capsule around a silicone breast implant. Plast Reconstr Surg. 1979, 63: 577-579.CrossRefPubMed
6.
go back to reference Cederlund CG, Gustavsson S, Linell F, Moquist-Olsson I, Andersson I: Fibromatosis of the breast mimicking carcinoma at mammography. Br J Radiol. 1984, 57: 98-101.CrossRefPubMed Cederlund CG, Gustavsson S, Linell F, Moquist-Olsson I, Andersson I: Fibromatosis of the breast mimicking carcinoma at mammography. Br J Radiol. 1984, 57: 98-101.CrossRefPubMed
7.
go back to reference Thomas T, Lorino C, Ferrara JJ: Fibromatosis of the breast: a case report and literature review. J Surg Oncol. 1987, 35: 70-74.CrossRefPubMed Thomas T, Lorino C, Ferrara JJ: Fibromatosis of the breast: a case report and literature review. J Surg Oncol. 1987, 35: 70-74.CrossRefPubMed
8.
go back to reference Leibman AJ, Kossoff MB: Sonographic features of fibromatosis of the breast. J Ultrasound Med. 1991, 10: 43-45.PubMed Leibman AJ, Kossoff MB: Sonographic features of fibromatosis of the breast. J Ultrasound Med. 1991, 10: 43-45.PubMed
9.
go back to reference Schuh ME, Radford DM: Desmoid tumor of the breast following augmentation mammoplasty. Plast Reconstr Surg. 1994, 93: 603-605.CrossRefPubMed Schuh ME, Radford DM: Desmoid tumor of the breast following augmentation mammoplasty. Plast Reconstr Surg. 1994, 93: 603-605.CrossRefPubMed
10.
go back to reference Koibuchi Y, Iino Y, Oyama T, Takeo T, Ishikta T, Yokoe T, Morishita Y: Fibromatosis of the breast: a case report. Jpn J Clin Oncol. 1995, 25: 16-19.PubMed Koibuchi Y, Iino Y, Oyama T, Takeo T, Ishikta T, Yokoe T, Morishita Y: Fibromatosis of the breast: a case report. Jpn J Clin Oncol. 1995, 25: 16-19.PubMed
11.
go back to reference Hermas S, Soummani A, Boumezgou K, Bennani O, Himmi A, Mansouri A, Aderdour M: Mammary fibromatosis (apropos of one case). Gynecol Obstet Fertil. 2000, 28: 38-43.PubMed Hermas S, Soummani A, Boumezgou K, Bennani O, Himmi A, Mansouri A, Aderdour M: Mammary fibromatosis (apropos of one case). Gynecol Obstet Fertil. 2000, 28: 38-43.PubMed
12.
go back to reference Vandeweyer E, Deraemaecker R: Desmoid tumor of the breast after reconstruction with implant. Plast Reconstr Surg. 2000, 104: 2627-2628.CrossRef Vandeweyer E, Deraemaecker R: Desmoid tumor of the breast after reconstruction with implant. Plast Reconstr Surg. 2000, 104: 2627-2628.CrossRef
13.
go back to reference Godwin Y, McCulloch TA, Sully L: Extra-abdominal desmoid tumour of the breast: review of the primary management and implications for breast reconstruction. Br J Plast Surg. 2001, 54: 268-271. 10.1054/bjps.2001.3548.CrossRefPubMed Godwin Y, McCulloch TA, Sully L: Extra-abdominal desmoid tumour of the breast: review of the primary management and implications for breast reconstruction. Br J Plast Surg. 2001, 54: 268-271. 10.1054/bjps.2001.3548.CrossRefPubMed
14.
go back to reference Mesurolle B, Ariche-Cohen M, Mignon F, Piron D, Goumot PA: Unusual mammographic and ultrasonographic findings in fibromatosis of the breast. Eur Radiol. 2001, 11: 2241-2243. 10.1007/s003300100956.CrossRefPubMed Mesurolle B, Ariche-Cohen M, Mignon F, Piron D, Goumot PA: Unusual mammographic and ultrasonographic findings in fibromatosis of the breast. Eur Radiol. 2001, 11: 2241-2243. 10.1007/s003300100956.CrossRefPubMed
15.
go back to reference Greenberg D, McIntyre H, Ramsaroop R, Arthur J, Harman J: Aggressive fibromatosis of the breast: A case report and literature review. Breast J. 2002, 8: 55-57. 10.1046/j.1524-4741.2002.08013.x.CrossRefPubMed Greenberg D, McIntyre H, Ramsaroop R, Arthur J, Harman J: Aggressive fibromatosis of the breast: A case report and literature review. Breast J. 2002, 8: 55-57. 10.1046/j.1524-4741.2002.08013.x.CrossRefPubMed
16.
go back to reference Nakazono T, Satoh T, Hamamoto T, Kudo S: Dynamic MRI of fibromatosis of the breast. Am J Roentgenol. 2003, 181: 1718-1719.CrossRef Nakazono T, Satoh T, Hamamoto T, Kudo S: Dynamic MRI of fibromatosis of the breast. Am J Roentgenol. 2003, 181: 1718-1719.CrossRef
17.
go back to reference Matherne TH, Green A, Tucker JA, Dyess DL: Fibromatosis: the breast cancer imitator. South Med J. 2004, 97: 1100-1103. 10.1097/01.SMJ.0000125109.51375.5C.CrossRefPubMed Matherne TH, Green A, Tucker JA, Dyess DL: Fibromatosis: the breast cancer imitator. South Med J. 2004, 97: 1100-1103. 10.1097/01.SMJ.0000125109.51375.5C.CrossRefPubMed
18.
go back to reference Lopez-Ruiz J, Ruiz M, Echevarria JJ, Lopez S, Imaz I: Mammary fibrosmatosis mimicking recurrent breast cancer: radiological findings. Eur Radiol. 2005, 15: 2034-2036. 10.1007/s00330-005-2717-x.CrossRefPubMed Lopez-Ruiz J, Ruiz M, Echevarria JJ, Lopez S, Imaz I: Mammary fibrosmatosis mimicking recurrent breast cancer: radiological findings. Eur Radiol. 2005, 15: 2034-2036. 10.1007/s00330-005-2717-x.CrossRefPubMed
19.
go back to reference Mesurolle B, Leconte I, Fellah L, Feger C: Dynamic breast MRI in recurrent fibromatosis. Am J Roentgenol. 2005, 184: 696-697.CrossRef Mesurolle B, Leconte I, Fellah L, Feger C: Dynamic breast MRI in recurrent fibromatosis. Am J Roentgenol. 2005, 184: 696-697.CrossRef
20.
go back to reference Privette A, Fenton SJ, Mone MC, Kennedy AM, Nelson EW: Desmoid tumor: A case of mistaken identity. Breast J. 2005, 11: 60-64. 10.1111/j.1075-122X.2005.21679.x.CrossRefPubMed Privette A, Fenton SJ, Mone MC, Kennedy AM, Nelson EW: Desmoid tumor: A case of mistaken identity. Breast J. 2005, 11: 60-64. 10.1111/j.1075-122X.2005.21679.x.CrossRefPubMed
21.
go back to reference Schwarz GS, Drotman M, Rosenblatt R, Milner L, Shamonki J, Osborne MP: Fibromatosis of the breast: case report and current concepts in the management of an uncommon lesion. Breast J. 2006, 12: 66-71. 10.1111/j.1075-122X.2006.00187.x.CrossRefPubMed Schwarz GS, Drotman M, Rosenblatt R, Milner L, Shamonki J, Osborne MP: Fibromatosis of the breast: case report and current concepts in the management of an uncommon lesion. Breast J. 2006, 12: 66-71. 10.1111/j.1075-122X.2006.00187.x.CrossRefPubMed
22.
go back to reference Povoski SP, Marsh WL, Spigos DG, Abbas AE, Buchele BA: Management of a patient with multiple recurrences of fibromatosis (desmoid tumor) of the breast involving the chest wall musculature. World J Surg Oncol. 2006, 4: 32-10.1186/1477-7819-4-32.PubMedCentralCrossRefPubMed Povoski SP, Marsh WL, Spigos DG, Abbas AE, Buchele BA: Management of a patient with multiple recurrences of fibromatosis (desmoid tumor) of the breast involving the chest wall musculature. World J Surg Oncol. 2006, 4: 32-10.1186/1477-7819-4-32.PubMedCentralCrossRefPubMed
23.
go back to reference Gump FE, Sternschein MJ, Wolff M: Fibromatosis of the breast. Surg Gynecol Obstet. 1981, 153: 57-60.PubMed Gump FE, Sternschein MJ, Wolff M: Fibromatosis of the breast. Surg Gynecol Obstet. 1981, 153: 57-60.PubMed
24.
go back to reference Wargotz ES, Norris HJ, Austin RM, Enzinger FM: Fibromatosis of the breast. A clinical and pathological study of 28 cases. Am J Surg Pathol. 1987, 11: 38-45.CrossRefPubMed Wargotz ES, Norris HJ, Austin RM, Enzinger FM: Fibromatosis of the breast. A clinical and pathological study of 28 cases. Am J Surg Pathol. 1987, 11: 38-45.CrossRefPubMed
25.
go back to reference Rosen PP, Ernsberger D: Mammary fibromatosis. A benign spindle-cell tumor with significant risk for local recurrence. Cancer. 1989, 63: 1363-1369. 10.1002/1097-0142(19890401)63:7<1363::AID-CNCR2820630722>3.0.CO;2-B.CrossRefPubMed Rosen PP, Ernsberger D: Mammary fibromatosis. A benign spindle-cell tumor with significant risk for local recurrence. Cancer. 1989, 63: 1363-1369. 10.1002/1097-0142(19890401)63:7<1363::AID-CNCR2820630722>3.0.CO;2-B.CrossRefPubMed
26.
go back to reference Devouassoux-Shisheboran M, Schammel DP, Man YG, Tavassoli FA: Fibromatosis of the breast. Age-correlated morphofunctional features of 33 cases. Arch Pathol Lab Med. 2000, 124: 276-280.PubMed Devouassoux-Shisheboran M, Schammel DP, Man YG, Tavassoli FA: Fibromatosis of the breast. Age-correlated morphofunctional features of 33 cases. Arch Pathol Lab Med. 2000, 124: 276-280.PubMed
27.
go back to reference Magro G, Gurrera A, Scava N, Lanzafame S, Bisceglia : [Fibromatosis of the breast: a clinical, radiographical and pathological study of 6 cases]. Pathologica. 2002, 94: 238-246. 10.1007/s102420200039.CrossRefPubMed Magro G, Gurrera A, Scava N, Lanzafame S, Bisceglia : [Fibromatosis of the breast: a clinical, radiographical and pathological study of 6 cases]. Pathologica. 2002, 94: 238-246. 10.1007/s102420200039.CrossRefPubMed
28.
go back to reference Enzinger FM, Shiraki M: Musculo-aponeurotic fibromatosis of the shoulder girdle (extra-abdominal desmoid). Analysis of thirty cases followed up for ten or more years. Cancer. 1967, 20: 1131-1140. 10.1002/1097-0142(196707)20:7<1131::AID-CNCR2820200716>3.0.CO;2-8.CrossRefPubMed Enzinger FM, Shiraki M: Musculo-aponeurotic fibromatosis of the shoulder girdle (extra-abdominal desmoid). Analysis of thirty cases followed up for ten or more years. Cancer. 1967, 20: 1131-1140. 10.1002/1097-0142(196707)20:7<1131::AID-CNCR2820200716>3.0.CO;2-8.CrossRefPubMed
29.
go back to reference Allen PW: The fibromatoses: a clinicopathologic classification based on 140 cases. Part I. Am J Surg Pathol. 1977, 1: 255-270.CrossRefPubMed Allen PW: The fibromatoses: a clinicopathologic classification based on 140 cases. Part I. Am J Surg Pathol. 1977, 1: 255-270.CrossRefPubMed
30.
go back to reference Allen PW: The fibromatoses: a clinicopathologic classification based on 140 cases. Part II. Am J Surg Pathol. 1977, 1: 305-321.CrossRef Allen PW: The fibromatoses: a clinicopathologic classification based on 140 cases. Part II. Am J Surg Pathol. 1977, 1: 305-321.CrossRef
31.
go back to reference Enzinger FM, Weiss SW: Fibromatosis. Soft Tissue Tumors. Edited by: Enzinger FM, Weiss SW. 2001, St. Louis, MO, Mosby, 320-329. 4 Enzinger FM, Weiss SW: Fibromatosis. Soft Tissue Tumors. Edited by: Enzinger FM, Weiss SW. 2001, St. Louis, MO, Mosby, 320-329. 4
32.
go back to reference Abbas AE, Deschamps C, Cassivi SD, Nichols FC, Allen MS, Schleck CD, Pairolero PC: Chest wall desmoid tumors: Results of surgical intervention. Ann Thorac Surg. 2004, 78: 1219-1223. 10.1016/j.athoracsur.2004.03.015.CrossRefPubMed Abbas AE, Deschamps C, Cassivi SD, Nichols FC, Allen MS, Schleck CD, Pairolero PC: Chest wall desmoid tumors: Results of surgical intervention. Ann Thorac Surg. 2004, 78: 1219-1223. 10.1016/j.athoracsur.2004.03.015.CrossRefPubMed
33.
go back to reference Pearson GD, Vasko SD: Chest wall reconstruction after desmoid tumor resection. Surg Rounds. 2005, 28: 385-388. Pearson GD, Vasko SD: Chest wall reconstruction after desmoid tumor resection. Surg Rounds. 2005, 28: 385-388.
Metadata
Title
Fibromatosis (desmoid tumor) of the breast mimicking a case of ipsilateral metachronous breast cancer
Authors
Stephen P Povoski
Rafael E Jimenez
Publication date
01-12-2006
Publisher
BioMed Central
Published in
World Journal of Surgical Oncology / Issue 1/2006
Electronic ISSN: 1477-7819
DOI
https://doi.org/10.1186/1477-7819-4-57

Other articles of this Issue 1/2006

World Journal of Surgical Oncology 1/2006 Go to the issue