Journal of the Korean Society of Radiology (대한영상의학회지)

The Korean Society of Radiology (대한영상의학회)
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Imaging Findings of Nodular Fasciitis in Breast including Artificial Intelligence Mammography and Shear Wave Elastography: A Case Report

유방의 결절성 근막염의 인공지능 유방촬영술과 탄성초음파를 포함한 영상 소견: 증례 보고

  • So Hyeong Park (Department of Radiology, Inje University Ilsan Paik Hospital, Inje University College of Medicine) ;
  • Ji Yeon Park (Department of Radiology, Inje University Ilsan Paik Hospital, Inje University College of Medicine) ;
  • Mee Joo (Department of Pathology, Inje University Ilsan Paik Hospital, Inje University College of Medicine) ;
  • Jae Il Kim (Department of Surgery, Inje University Ilsan Paik Hospital, Inje University College of Medicine)
  • 박소형 (인제대학교 의과대학 일산백병원 영상의학과) ;
  • 박지연 (인제대학교 의과대학 일산백병원 영상의학과) ;
  • 주미 (인제대학교 의과대학 일산백병원 병리과) ;
  • 김재일 (인제대학교 의과대학 일산백병원 외과)
  • Received : 2022.08.22
  • Accepted : 2023.01.10
  • Published : 2023.11.01
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Abstract

Nodular fasciitis is a benign fibroblastic proliferation rarely reported in the breast. We report the case of a 55-year-old woman who presented with imaging findings that resembled a malignancy. Mammography revealed an isodense nodule with partially indistinct margin in the right breast, showing the abnormality score 75% on artificial intelligence. Ultrasonography revealed an oval hypoechoic nodule with microlobulated margin, echogenic halo, increased blood flow, and soft elasticity. After core needle biopsy and excision, nodular fasciitis was diagnosed. Although nodular fasciitis of the breast is rare, it may mimic malignancy; therefore, it should be considered as a differential diagnosis to prevent unnecessary intervention.

결절성 근막염은 양성 섬유모세포 증식으로 유방에는 드물게 보고된다. 저자들은 악성 영상 소견을 보인 55세 여자 환자의 증례를 보고한다. 유방촬영술에서 오른쪽 유방에 유방조직과 비슷한 밀도를 보인 부분적으로 경계가 불명확한 결절이 보였고 인공지능 점수는 75%였다. 초음파에서 미세 소엽상 경계, 주변부 고에코를 가진 타원형의 저에코 결절이 보였고 증가된 혈류와 부드러운 탄성도를 보였다. 조직검사와 수술 후 결절성 근막염으로 진단되었다. 결절성 근막염은 유방에서 드물지만, 악성과 비슷하게 보일 수 있다. 따라서 불필요한 중재시술을 막기 위해 감별진단으로 고려되어야 한다.

Keywords

References

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