Sclerosing adenosis mimicking malignant lesion on breast MRI
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A 45-year-old female presented with an abnormal screening mammogram, and subsequent diagnostic mammogram and ultrasound appearance were nonconclusive. MRI was recommended for further evaluation and showed a Type 3 enhancing kinetic curve highly suggestive of malignancy. Therefore, core biopsy was performed and revealed sclerosing adenosis. Diagnosis of sclerosing adenosis can be difficult with a mammogram, ultrasound, and MRI, and tissue diagnosis may be required for definitive diagnosis. There have only been a few cases in the literature reporting sclerosing adenosis presenting with classic features of malignancy, ultimately diagnosed as benign sclerosing adenosis.

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