Abstract
Background. Desmoid type fibromatosis of the breast is a rare fibroblastic proliferative disease. It may be sporadic or associated with trauma, Gardner’s syndrome, etc. Desmoid tumour of the breast is a benign, locally aggressive disease. However, it does not metastasize. Case report. We report a case of a 65-year-old woman with right breast desmoid type fibromatosis. Conclusions. Diagnosis of breast desmoid tumour is difficult: clinically and radiologically it may mimic carcinoma. Definitive diagnosis is proved just by histopathological examination results. First choice treatment of breast fibromatosis is a radical surgical excision.
Highlights
Desmoid tumour is a rare benign fibroblastic proliferative disease
Most cases of breast fibromatosis are reported in female, it may occur in male [2, 3]
Desmoid tumour may be treated with Tamoxifen due to the fact that fibromatosis may have been related to elevated estrogen levels during pregnancy: treatment with Tamoxifen is associated with reduced size of the tumour [9]
Summary
Desmoid tumour (syn. aggressive fibromatosis, nonmetastasing fibrosarcoma) is a rare benign fibroblastic proliferative disease. Breast desmoid tumour presents as firm, painless and movable mass [4]. Case report A 65-year-old female presented with a palpable lump in her right breast for 5 months. There was no family history of the breast cancer Her past medical history was significant for total hysterectomy with bilateral salpingo-oophorectomy twenty years ago because of myomatous uterus and benign cysts of ovaries. She reported the onset of menarche at age 14. Histopathological examination of the tumour core biopsy material revealed desmoid type fibromatosis. Histopathological examination of surgical material confirmed desmoid type fibromatosis (Figure 3). There was no recurrence after two years of follow-up
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