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Erroneous diagnosis of primary fibrosarcoma of the breast: The value of the multidisciplinary breast team approach
Authors:Emily Siegel MD  Marilin Rosa MD  Nazanin Khakpour MD  Dahui Qin MD  Zena Jameel MD
Affiliation:1. Department of Breast Oncology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA;2. Department of Pathology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA
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:breast  DNA fingerprinting  misdiagnosis  preanalytical error  sarcoma
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