Case Report of Foreign Body-Type Giant Cell Granuloma Suspected Local Recurrence After Breast Conservative Therapy.

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  • 乳房温存療法後，画像診断にて局所再発と鑑別困難であった異物型巨細胞肉芽腫の１例

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A case of a foreign body-type giant cell granuloma suspected local recurrence of breast cancer after a breast conservative therapy is reported. A 70-year-old woman was admitted to the hospital because of an induration at the operative scar. The patient had undergone a breast conservative therapy for right stage II breast cancer (T2a, N0, M0) 2 years before admission, when the surgical stumps were negative and histologic type was solid ductal carcinoma, n0, f (+), ly (-), and v (-). Thereafter she was followed in the clinic and had not received any adjuvant therapies. A new lump was palpable just below the operative scar. An irregular mass was detected on ultrasonography. A spiculated mass with microcalcifications was seen on mammography. Local recurrence in the remnant breast was suspected. Fine needle aspiration cytology disclosed none of malignant cells. The mass was removed under local anesthesia in the outpatient clinic. Pathological findings showed a foreign body-type giant cell granuloma. There have been no findings of recurrent breast cancer at present.

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