Metastasis to the Skeletal Muscle from a Malignant Phyllodes Tumor of the Breast: A Case Report

골격근육에 전이된 악성 유방 엽상종양의 영상소견: 증례 보고

  • Kim, Dae-Jung (Department of Radiology, Gangnam Severance Hospital, Yonsei University) ;
  • Yoon, Choon-Sik (Department of Radiology, Gangnam Severance Hospital, Yonsei University) ;
  • Koo, Ja-Seung (Department of Diagnostic Pathology, Gangnam Severance Hospital, Yonsei University) ;
  • Chung, Woo-Hee (Department of Diagnostic Pathology, Gangnam Severance Hospital, Yonsei University) ;
  • Haam, Seok-Jin (Department of Thoracic Surgery, Gangnam Severance Hospital, Yonsei University) ;
  • Lee, Doo-Yun (Department of Thoracic Surgery, Gangnam Severance Hospital, Yonsei University) ;
  • Kim, Sung-Jun (Department of Radiology, Gangnam Severance Hospital, Yonsei University)
  • 김대중 (연세대학교 강남세브란스병원 영상의학과) ;
  • 윤춘식 (연세대학교 강남세브란스병원 영상의학과) ;
  • 구자승 (연세대학교 강남세브란스병원 병리과) ;
  • 정우희 (연세대학교 강남세브란스병원 병리과) ;
  • 함석진 (연세대학교 강남세브란스병원 흉부외과) ;
  • 이두연 (연세대학교 강남세브란스병원 흉부외과) ;
  • 김성준 (연세대학교 강남세브란스병원 영상의학과)
  • Published : 2009.06.30

Abstract

We report radiological findings of ultrasonography (US), 18F-fluorodeoxyglucose (FDG) positron emission tomography (PET) computed tomography (CT), and magnetic resonance (MR) imaging for a rare case of skeletal muscle metastasis from an underlying known malignant phyllodes tumor. To our knowledge, there has been no previous published report of imaging findings of skeletal muscle metastasis from a sarcoma such as malignant phyllodes tumor.

저자들은 육종의 일종으로 분류되는 유방의 악성 엽상종양이 골격근으로 전이된, 현재까지 영상소견으로는 보고된 사례가 없는, 드문 증례의 초음파, 양전자방출 단층촬영, 전산화 단층 촬영, 자기공명영상 소견을 보고하고자 한다.

Keywords

References

  1. Parker SJ, Harries SA. Phyllodes tumors. Postgrad Med J 2001;77:428-435. https://doi.org/10.1136/pmj.77.909.428
  2. Herring CL Jr, Harrelson JM, Scully SP. Metastatic carcinoma to skeletal muscle. A report of 15 patients. Clin Orthop 1998;355:272-281. https://doi.org/10.1097/00003086-199810000-00029
  3. Magee T, Rosenthal H. Skeletal muscle metastases at sites of documented trauma. AJR Am J Roentgenol. 2002;178:985-988. https://doi.org/10.2214/ajr.178.4.1780985
  4. Tuoheti Y, Okada K, Osanai T, et al. Skeletal muscle metastases of carcinoma: a clinicopathological study of 12 cases. Jpn J Clin Oncol. 2004;34:210-214. https://doi.org/10.1093/jjco/hyh036
  5. Weiss L. Biomechanical desu'uction of cancer cells in skeletal muscle: a rate-regulator for hematogenous metastasis. Cliti Evp Metastasis 1989;7:483-491. https://doi.org/10.1007/BF01753809
  6. Rocha PS, Pinto RG, Nadkarni NS, Priolkar UV. Malignant phyllodes tumor metastatic to the forearm: a case report. Diagn Cytopathol. 2000;22:243-245. https://doi.org/10.1002/(SICI)1097-0339(200004)22:4<243::AID-DC9>3.0.CO;2-R
  7. Kapiris I, Nasiri N, A'Hern R, Healy V, Gui GP. Outcome and predictive factors of local recurrence and distant metastases following primary surgical treatment of high-grade malignant phyllodes tumors of the breast. Eur J Surg Oncol 2001;27:723-730. https://doi.org/10.1053/ejso.2001.1207
  8. Youngberg RA, Bui-Mansfield LT, Pitcher JD. MR imaging of skeletal muscle metastases. AJR Am J Roentgenol. 1997;168:555-557. https://doi.org/10.2214/ajr.168.2.9016246