3.6 Metaplastic Cancer
Term:adenocarcinoma and distinct spindle cell,squamous cell and mesenchymal tissue differentiation regions
Clinical manifestation:
●Clearable boundaries
●Invasive nipple with skin ulcers
●Rapid growth
Population distribution characteristics:
●>50-year-old woman,average age 55 years old
●The proportion of the disease in invasive breast cancer<1%
Mammography:
●Clear edges,rounded,lobed or irregular lumps
●Rare microcalcification;with ossification,visible calcification and ossification
MR:
●Flat scan T1W1/T2W1 is non-specific
●Enhance T1W1 to present typical malignant signs,showing early and rapid enhancement performance,mainly represented by circular enhancement
●Central necrosis is common
Image inspection recommendation:(https://www.daowen.com)
●Best image inspection method:Enhanced MR
Case 1

Fig.(a-d)DR female,63 years old,medical examination:right ectopic cancer
Case 2

Fig.(a-d)DR female,54 years old,medical examination:left ectopic cancer
Case 3


Fig.(a-h)MR female,45 years old,found the right breast mass for more than 3 months.Pathology:right ectopic cancer
Case 4


Fig.(a-i)MR Female,54 years old,found a left breast mass for more than 20 days.Pathology:left ectopic cancer