Erroneous diagnosis of primary fibrosarcoma of the breast: The value of the multidisciplinary breast team approach

Breast J. 2021 May;27(5):472-474. doi: 10.1111/tbj.14201. Epub 2021 Feb 23.

Abstract

Diagnostic errors occur in the preanalytic, analytic, and postanalytic phases of specimen processing. Correlating clinical and imaging information with gross and microscopic findings is crucial to limit errors and unnecessary treatment. Herein, we report the case of a 54-year-old woman who presented with left breast bloody nipple discharge and subsequently underwent central duct excision. Pathology revealed a high-grade sarcoma. The patient presented to our institution for further management. Upon secondary pathology review and DNA fingerprinting analysis, the correct interpretation was rendered. Our case demonstrates the importance of clinical correlation and review of pathology slides prior to definitive therapy.

Keywords: DNA fingerprinting; breast; misdiagnosis; preanalytical error; sarcoma.

Publication types

  • Case Reports

MeSH terms

  • Breast Neoplasms* / diagnostic imaging
  • Breast Neoplasms* / surgery
  • Female
  • Fibrosarcoma*
  • Humans
  • Mammary Glands, Human*
  • Middle Aged
  • Nipple Discharge*
  • Nipples