Foreign body in the breast: diagnosis and treatment (clinical case)

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Abstract

Foreign body in the breast of an iatrogenic nature is an extremely rare observation diagnosed after surgical treatment of breast formations, while often simulating a benign or malignant neoplasm. For the final diagnosis, surgical treatment with histological examination of the removed drug is used.

The observation presented in the article is interesting because during a biopsy of a nodular formation in the mammary gland, the presence of an iatrogenic foreign body was suspected, taking into account the anamnesis data, it is known that 5 years ago the patient underwent sectoral resection of both breasts for fibroadenomas. The diagnosis was confirmed by the morphological conclusion of the removed drug.

Any breast formation must be confirmed by morphological examination, followed by a decision on the need for surgical intervention or dynamic observation.

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About the authors

E. A. Rasskazova

National Medical Radiology Research Center, Ministry of Health of Russia

Author for correspondence.
Email: rasskaz2@yandex.ru
ORCID iD: 0000-0003-0307-8252
SPIN-code: 5476-1500

Candidate of Medical Sciences, P. Hertsen Moscow Oncology Research Institute

Russian Federation, Moscow

U. Kh. Khomidy

National Medical Radiology Research Center, Ministry of Health of Russia

Email: rasskaz2@yandex.ru

P. Hertsen Moscow Oncology Research Institute

Russian Federation, Moscow

D. B. Kodzoeva

National Medical Radiology Research Center, Ministry of Health of Russia

Email: rasskaz2@yandex.ru

P. Hertsen Moscow Oncology Research Institute

Russian Federation, Moscow

D. G. Dulaeva

National Medical Radiology Research Center, Ministry of Health of Russia

Email: rasskaz2@yandex.ru
ORCID iD: 0009-0002-8061-4522

P. Hertsen Moscow Oncology Research Institute

Russian Federation, Moscow

A. D. Zikiryakhodzhaev

National Medical Radiology Research Center, Ministry of Health of Russia; Peoples' Friendship University of Russia named after Patrice Lumumba; I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia

Email: rasskaz2@yandex.ru
ORCID iD: 0000-0001-7141-2502
SPIN-code: 8421-0364

P. Hertsen Moscow Oncology Research Institute

Russian Federation, Moscow; Moscow; Moscow

References

  1. Tez S., Sen M., Yenidünya S. et al. Foreign body granuloma: a mimic of breast carcinoma. Bratisl Lek Listy. 2009; 110 (6): 366–7.
  2. Иванов Ю.В. Забытые инородные тела при абдоминальных операциях: Случайность или неизбежность? Клиническая практика. 2011; 2: 71–4 [Ivanov Yu.V. Forgotten foreign bodies during abdominal operations: Chance or inevitability? Clinical Practice. 2011; 2: 71–4 (in Russ.)].
  3. Абрамзон О.М., Мячин М.Б., Панов И.В. Случай длительного пребывания инородного тела в плевральной полости. Грудная и сердечно-сосудистая хирургия. 2015; 57 (3): 45–6 [Abramzon O.M., Myachin M.B., Panov I.V. A case of prolonged stay of a foreign body in the pleural cavity. Thoracic and cardiovascular surgery. 2015; 57 (3): 45–6 (in Russ.)].

Supplementary files

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2. Fig. 1. Mammogram of the left breast (lateral projection): a – 2017; б – 2023

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3. Fig. 2. Biopsy columns of nodular breast formation

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4. Fig. 3. View of the removed breast formation

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