Desmoid fibromatosis of the breast

Authors

Aqsa Amjad, Aga Khan UniversityFollow
Kulsoom Hamid, Aga Khan UniversityFollow
Romana Idress, Aga Khan UniversityFollow
Sana Zeeshan, Aga Khan UniversityFollow

Document Type

Case Report

Department

Medical College Pakistan; General Surgery; Pathology and Laboratory Medicine

Abstract

esmoid-type fibromatosis (DTF) is a rare non-metastatic mesenchymal tumour that accounts for only 0.2% of all primary breast neoplasms. This locally aggressive tumour has a high recurrence rate and primarily affects women aged 20-40 years. DTF often presents with features mimicking breast carcinoma, posing diagnostic challenges and the risk of mismanagement. We report a case of a young woman with a left-sided breast mass and skin dimpling. Initial ultrasound and core needle biopsy findings suggested adenosis and intraductal papilloma. Due to the strong clinical suspicion of malignancy, a wide local excision was performed, which confirmed DTF. The patient is currently under surveillance with a regular MRI on follow-up. This case underscores the diagnostic difficulty of DTF, and due to its rarity and limited data, optimal management is debated. Current guidelines favour a conservative 'watch and wait' strategy, with surgery reserved for symptomatic cases. Close follow-up is crucial due to the high risk of recurrence.

Comments

Pagination is not provided by author/publisher.

AKU Student

no

Publication (Name of Journal)

BMJ Case Reports

DOI

10.1136/bcr-2024-264208

Recommended Citation

Amjad, A., Hamid, K., Idress, R., Zeeshan, S. (2024). Desmoid fibromatosis of the breast. BMJ Case Reports, 18(3).
Available at: https://ecommons.aku.edu/pakistan_fhs_mc_mc/549