Unusual presentation of sarcoidosis of the breast mimicking metastatic breast cancer analyzed with digital breast tomosynthesis vacuum assisted biopsy (DBT-VAB): A rare case report

Abstract

We present a case of breast sarcoidosis with a distinctive radiological presentation. The patient, a 47-year-old asymptomatic woman, underwent a routine screening mammogram that identified a small, slightly denser mass in the right upper quadrants of the breast, not seen in previous exams. Ultrasonography did not detect a breast mass; however, suspicious lymph nodes were noted in the ipsilateral axillary cavity. A fine-needle aspiration (US-FNA) was performed on one of these lymph nodes. Subsequently, digital breast tomosynthesis-guided vacuum-assisted biopsy (DBT-VAB) was conducted on the mammographic finding, confirming the diagnosis of sarcoidosis.