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Case 2
Presented by: Dr. T. Oyama
Clinical History
A 69-year-old woman presented with a right breast tumor at a medical screening at our outpatient department. On physical examination , a 2,2 cm tumor was palpated in the upper outer quadrant of her right breast. The tumor was irregularly shaped with defined margins. Skin retraction was observed. Mammography revealed an irregularly shaped, speculated mass without calcification. Ultrasonography revealed an irregular hypoechoic lesion with coarse internal echo and increased boundary echo. These examination suggested breast cancer and aspiration cytology was performed. The diagnosis was ‘’no malignant atypical cells’’ and only abundant histiocytoid cells with granular cytoplasm and round small nuclei were observed. Core needle biopsy was performed to accurately diagnose the tumor.
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Granular cell tumor of the breast |
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