Evidence map›Paper›PMID 41727666›Full record

ArticleFrontiers in oncology2026

Case Report: A rare case of breast leiomyoma with literature review.

Xiao Feng, Shue Zeng

Abstract readCase Reports
In one paragraph

Article in Frontiers in oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Xiao FengDepartment of Ultrasound, Hubei Cancer Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Shue ZengDepartment of Ultrasound, Hubei Cancer Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Breast leiomyoma is a rare benign mesenchymal tumor that typically manifests as a solitary, slow-growing mass. This article presents a case of a 58-year-old female with a history of follicular lymphoma confirmed by pathological examination of resected lymph nodes in November 2019. Follow-up positron emission tomography/computed tomography (PET-CT) revealed a breast soft-tissue mass initially classified as likely benign. Subsequent chest computed tomography (CT) in May 2024 demonstrated enlargement of the lesion, raising suspicion of lymphomatous infiltration. The mammogram shows an irregular mass shadow with shallow lobulation and scattered punctate and coarse calcification shadows. It is classified as BI-RADS 4b. Multimodal ultrasound evaluation (including grayscale ultrasound, color doppler, shear-wave elastography, strain elastography, and contrast-enhanced ultrasound) identified a solid breast mass categorized as BI-RADS 4b. Ultrasound-guided core needle biopsy revealed adenosis with focal fibroadenomatoid changes. Definitive diagnosis was achieved through surgical excision, with histopathology demonstrating fascicular arrangements of spindle-shaped smooth muscle cells on hematoxylin-eosin staining, corroborated by immunohistochemical confirmation (SMA+/desmin+). Postoperative surveillance at 6 months showed no recurrence. A search was conducted in the PubMed database using "breast leiomyoma" as the keyword, with the publication date limited to January 1, 2015, to May 3, 2025. A total of 192 articles were retrieved. After applying rigorous selection criteria, 11 case reports that met the criteria were finally included for systematic review, involving a total of 12 cases of pathologically confirmed breast leiomyoma (one report contained 2 cases). Notably, only one study comprehensively characterized the contrast-enhanced ultrasound features, and no elastography examination was performed in any of the cases. This report presents a case of breast leiomyoma in a patient with a history of lymphoma. The imaging features were highly suggestive of malignancy, yet histopathological examination confirmed a benign lesion. This study aims to analyze the clinical and preoperative imaging characteristics of this case. Combined with a comprehensive literature review, it thoroughly explores the diagnostic imaging manifestations of breast leiomyoma, providing a reference for clinical differential diagnosis.

Indexed as

breast leiomyomabreast tumorcontrast-enhanced ultrasoundlelastographyultrasound

Identifiers

PMID41727666
PMCPMC12922233

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