Poster électronique

Fibromatose mammaire : aspects cliniques et radiologiques
R. Khayat, R. Martins, H. Berment, Y. Barukh, M. Mohallem, F. Jabnoun, JM. Guinebretière, P. Cherel - Saint-Cloud - France
Congrès 2010
Résumé
Objectifs
Connaître l'aspect clinique et radiologique de la fibromatose mammaire.
Matériels et méthodes
Étude rétrospective portant sur 8 patients opérés, entre 1993 et 2009. Les présentations cliniques, d'imageries, et anatomopathologiques ont étéévaluées.
Résultats
Il s'agit de 7 femmes et 1 homme, âgés de 24 à 78 ans. L'examen clinique est anormal dans tout les cas, sous la forme d'une masse considérée comme suspecte. La mammographie (n = 7) est anormale dans 57 % des cas (4/7), sous la forme d'une masse spiculée (3/4 ; 75 %), d'une asymétrie focale de densité (1/4 ; 25 %). L'échographie est anormale (n = 5) dans tout les cas, avec une masse classée Birads 4/5 dans 80 % des cas (4/5) et Birads 3 dans 20 % cas (1/5). Une imagerie avec produit de contraste (n = 3) est positive dans 66 % des cas. La taille moyenne des lésions en imagerie est de 22 mm. La microbiopsie 14 G orientait vers le diagnostic dans 100 % des cas (2/2), la cytoponction orientait vers le diagnostic dans 28 % des cas. Après chirurgie un seul cas de récidive a été observé.
Conclusion
La fibromatose mammaire est très fréquemment de présentation clinique et radiologique en faveur de la malignité. La microbiopsie permet d'orienter le diagnostic, avant exérèse chirurgicale.
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2017-04-12 05.40 :
Ann Perez

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