Multimodal Ultrasound Imaging in the Diagnosis of Primary Giant Cell Tumor of the Breast: A Case Report and Literature Review

ABSTRACT Giant cell tumor of soft tissue (GCT‐ST) is an extremely rare phenomenon in the breast. Herein, a case involving a 75‐year‐old female with a painless lump and bloody discharge from the nipple of her left breast is reported. A diagnosis of malignant tumor was arrived at by observing the loca...

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Vydáno v:	Journal of clinical ultrasound Ročník 53; číslo 4; s. 885 - 892
Hlavní autoři:	Chen, Fei, Chen, Yu‐Jia, Hu, Yan‐Ze
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	Hoboken, USA John Wiley & Sons, Inc 01.05.2025 Wiley Subscription Services, Inc
Témata:	Aged Biopsy Breast Breast - diagnostic imaging Breast - surgery Breast Neoplasms - diagnostic imaging Breast Neoplasms - pathology Breast Neoplasms - surgery breast tumor Diagnosis Diagnosis, Differential Female giant cell tumor of soft tissue Giant Cell Tumors - diagnostic imaging Giant Cell Tumors - pathology Giant Cell Tumors - surgery Humans Immunohistochemistry Literature reviews Lymph nodes Malignancy Medical imaging Microvasculature Multimodal Imaging - methods pathology Soft tissues Tumors Ultrasonic imaging ultrasonography Ultrasonography, Mammary - methods Ultrasound diagnosis giant cell tumor of soft tissue breast tumor pathology ultrasonography
ISSN:	0091-2751, 1097-0096, 1097-0096
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Abstract	ABSTRACT Giant cell tumor of soft tissue (GCT‐ST) is an extremely rare phenomenon in the breast. Herein, a case involving a 75‐year‐old female with a painless lump and bloody discharge from the nipple of her left breast is reported. A diagnosis of malignant tumor was arrived at by observing the location of the tumor, interior echo, margins, vascular distribution, hardness, and microvascular density on preoperative multimodal ultrasonography. However, no evidence of malignancy was found on ultrasonography‐guided nuclear needle biopsy or rapid intraoperative pathological examination. Subsequently, an excisional biopsy was performed, and GCT‐ST coincident with high‐grade ductal carcinoma in situ were confirmed using histopathology and immunohistochemistry. Accordingly, the patient underwent left‐sided mastectomy and sentinel lymph node biopsy. This case emphasizes the complexity of the clinical and pathological diagnosis of GCT‐ST in the breast and may raise the awareness of clinicians and sonographers to the advantages of multimodal ultrasound imaging in the diagnosis of GCT‐ST in the breast. Pathologists should consider the possibility of GCT‐ST when encountering a giant cell‐rich mass in the breast.
AbstractList	Giant cell tumor of soft tissue (GCT-ST) is an extremely rare phenomenon in the breast. Herein, a case involving a 75-year-old female with a painless lump and bloody discharge from the nipple of her left breast is reported. A diagnosis of malignant tumor was arrived at by observing the location of the tumor, interior echo, margins, vascular distribution, hardness, and microvascular density on preoperative multimodal ultrasonography. However, no evidence of malignancy was found on ultrasonography-guided nuclear needle biopsy or rapid intraoperative pathological examination. Subsequently, an excisional biopsy was performed, and GCT-ST coincident with high-grade ductal carcinoma in situ were confirmed using histopathology and immunohistochemistry. Accordingly, the patient underwent left-sided mastectomy and sentinel lymph node biopsy. This case emphasizes the complexity of the clinical and pathological diagnosis of GCT-ST in the breast and may raise the awareness of clinicians and sonographers to the advantages of multimodal ultrasound imaging in the diagnosis of GCT-ST in the breast. Pathologists should consider the possibility of GCT-ST when encountering a giant cell-rich mass in the breast. ABSTRACT Giant cell tumor of soft tissue (GCT‐ST) is an extremely rare phenomenon in the breast. Herein, a case involving a 75‐year‐old female with a painless lump and bloody discharge from the nipple of her left breast is reported. A diagnosis of malignant tumor was arrived at by observing the location of the tumor, interior echo, margins, vascular distribution, hardness, and microvascular density on preoperative multimodal ultrasonography. However, no evidence of malignancy was found on ultrasonography‐guided nuclear needle biopsy or rapid intraoperative pathological examination. Subsequently, an excisional biopsy was performed, and GCT‐ST coincident with high‐grade ductal carcinoma in situ were confirmed using histopathology and immunohistochemistry. Accordingly, the patient underwent left‐sided mastectomy and sentinel lymph node biopsy. This case emphasizes the complexity of the clinical and pathological diagnosis of GCT‐ST in the breast and may raise the awareness of clinicians and sonographers to the advantages of multimodal ultrasound imaging in the diagnosis of GCT‐ST in the breast. Pathologists should consider the possibility of GCT‐ST when encountering a giant cell‐rich mass in the breast. Giant cell tumor of soft tissue (GCT‐ST) is an extremely rare phenomenon in the breast. Herein, a case involving a 75‐year‐old female with a painless lump and bloody discharge from the nipple of her left breast is reported. A diagnosis of malignant tumor was arrived at by observing the location of the tumor, interior echo, margins, vascular distribution, hardness, and microvascular density on preoperative multimodal ultrasonography. However, no evidence of malignancy was found on ultrasonography‐guided nuclear needle biopsy or rapid intraoperative pathological examination. Subsequently, an excisional biopsy was performed, and GCT‐ST coincident with high‐grade ductal carcinoma in situ were confirmed using histopathology and immunohistochemistry. Accordingly, the patient underwent left‐sided mastectomy and sentinel lymph node biopsy. This case emphasizes the complexity of the clinical and pathological diagnosis of GCT‐ST in the breast and may raise the awareness of clinicians and sonographers to the advantages of multimodal ultrasound imaging in the diagnosis of GCT‐ST in the breast. Pathologists should consider the possibility of GCT‐ST when encountering a giant cell‐rich mass in the breast. Giant cell tumor of soft tissue (GCT-ST) is an extremely rare phenomenon in the breast. Herein, a case involving a 75-year-old female with a painless lump and bloody discharge from the nipple of her left breast is reported. A diagnosis of malignant tumor was arrived at by observing the location of the tumor, interior echo, margins, vascular distribution, hardness, and microvascular density on preoperative multimodal ultrasonography. However, no evidence of malignancy was found on ultrasonography-guided nuclear needle biopsy or rapid intraoperative pathological examination. Subsequently, an excisional biopsy was performed, and GCT-ST coincident with high-grade ductal carcinoma in situ were confirmed using histopathology and immunohistochemistry. Accordingly, the patient underwent left-sided mastectomy and sentinel lymph node biopsy. This case emphasizes the complexity of the clinical and pathological diagnosis of GCT-ST in the breast and may raise the awareness of clinicians and sonographers to the advantages of multimodal ultrasound imaging in the diagnosis of GCT-ST in the breast. Pathologists should consider the possibility of GCT-ST when encountering a giant cell-rich mass in the breast.Giant cell tumor of soft tissue (GCT-ST) is an extremely rare phenomenon in the breast. Herein, a case involving a 75-year-old female with a painless lump and bloody discharge from the nipple of her left breast is reported. A diagnosis of malignant tumor was arrived at by observing the location of the tumor, interior echo, margins, vascular distribution, hardness, and microvascular density on preoperative multimodal ultrasonography. However, no evidence of malignancy was found on ultrasonography-guided nuclear needle biopsy or rapid intraoperative pathological examination. Subsequently, an excisional biopsy was performed, and GCT-ST coincident with high-grade ductal carcinoma in situ were confirmed using histopathology and immunohistochemistry. Accordingly, the patient underwent left-sided mastectomy and sentinel lymph node biopsy. This case emphasizes the complexity of the clinical and pathological diagnosis of GCT-ST in the breast and may raise the awareness of clinicians and sonographers to the advantages of multimodal ultrasound imaging in the diagnosis of GCT-ST in the breast. Pathologists should consider the possibility of GCT-ST when encountering a giant cell-rich mass in the breast.
Author	Hu, Yan‐Ze Chen, Fei Chen, Yu‐Jia
Author_xml	– sequence: 1 givenname: Fei surname: Chen fullname: Chen, Fei organization: The First Hospital of Jiaxing/Affiliated Hospital of Jiaxing University – sequence: 2 givenname: Yu‐Jia surname: Chen fullname: Chen, Yu‐Jia organization: The First Hospital of Jiaxing/Affiliated Hospital of Jiaxing University – sequence: 3 givenname: Yan‐Ze surname: Hu fullname: Hu, Yan‐Ze email: hyz15706701897@163.com organization: Jiaxing Hospital of Traditional Chinese Medicine
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Snippet	ABSTRACT Giant cell tumor of soft tissue (GCT‐ST) is an extremely rare phenomenon in the breast. Herein, a case involving a 75‐year‐old female with a painless... Giant cell tumor of soft tissue (GCT‐ST) is an extremely rare phenomenon in the breast. Herein, a case involving a 75‐year‐old female with a painless lump and... Giant cell tumor of soft tissue (GCT-ST) is an extremely rare phenomenon in the breast. Herein, a case involving a 75-year-old female with a painless lump and...
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SubjectTerms	Aged Biopsy Breast Breast - diagnostic imaging Breast - surgery Breast Neoplasms - diagnostic imaging Breast Neoplasms - pathology Breast Neoplasms - surgery breast tumor Diagnosis Diagnosis, Differential Female giant cell tumor of soft tissue Giant Cell Tumors - diagnostic imaging Giant Cell Tumors - pathology Giant Cell Tumors - surgery Humans Immunohistochemistry Literature reviews Lymph nodes Malignancy Medical imaging Microvasculature Multimodal Imaging - methods pathology Soft tissues Tumors Ultrasonic imaging ultrasonography Ultrasonography, Mammary - methods Ultrasound
Title	Multimodal Ultrasound Imaging in the Diagnosis of Primary Giant Cell Tumor of the Breast: A Case Report and Literature Review
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