case_images: PMC4717308_01
case_images: Mammography performed with craniocaudal (A) and mediolateral oblique (B) incidences of the left breast shows a huge well-defined mass located between the inner and the outer inferior quadrants, with no suspicious features.
case_images: fsurg-02-00073-g001.jpg
case_images: PMC4717308_01_fsurg-02-00073-g001.jpg
case_images: F1
case_images: On mammography (Figure 1), including a craniocaudal and a mediolateral oblique view of the breasts, a huge well-demarcated mass with lobulated borders containing tiny calcifications in the left breast, corresponding to BI-RADS category 3 was found.
case_images: Ultrasound of the left breast centered on the palpable lump showing an oval, heterogeneous lesions with smooth borders.
case_images: fsurg-02-00073-g002.jpg
case_images: PMC4717308_01_fsurg-02-00073-g002.jpg
case_images: F2
case_images: An additional ultrasound (Figure 2) was realized and demonstrated a well-defined heterogeneous lobulated hypoechoic mass measuring 5.17 cm x 1.74 cm.
case_images: MRI showing the mass on the left breast with lobulated appearances. On T2-weighted MR image with fat saturation (A), the lesion demonstrates a heterogeneous appearance with areas of low and high signal. On T1-weighted MR image (B), the lesion shows a more homogeneous appearance with a hyposignal. On T1-weighted MR image with gadolinium and fat saturation (C), the mass demonstrates a heterogeneous enhancement, with a polylobulated appearance. No lymphadenopathies are seen.
case_images: fsurg-02-00073-g003.jpg
case_images: PMC4717308_01_fsurg-02-00073-g003.jpg
case_images: F3
case_images: In order to confirm the benign nature of the lesion, an MRI scan (Figure 3) was performed, which demonstrated a huge mass with cystic components presenting a hypointense signal on T1- and T2-weighted images and a heterogeneous enhancement on post-contrast sequences.