Invasive breast carcinoma with osteoclast-like stromal giant cells: A case report.
Autor: | Wang YJ; Department of Surgery, Tri Service General Hospital, National Defense Medical Center, Taipei 114, Taiwan., Huang CP; Department of Pathology, Tri Service General Hospital, National Defense Medical Center, Taipei 114, Taiwan., Hong ZJ; Division of Traumatology, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei 114, Taiwan., Liao GS; Division of General Surgery, Department of Surgery, Tri Service General Hospital, National Defense Medical Center, Taipei 114, Taiwan., Yu JC; Division of General Surgery, Department of Surgery, Tri Service General Hospital, National Defense Medical Center, Taipei 114, Taiwan. doc2010612542@gmail.com. |
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Jazyk: | angličtina |
Zdroj: | World journal of clinical cases [World J Clin Cases] 2023 Mar 06; Vol. 11 (7), pp. 1521-1527. |
DOI: | 10.12998/wjcc.v11.i7.1521 |
Abstrakt: | Background: Invasive breast carcinoma with osteoclast-like stromal giant cells (OGCs) is an extremely rare morphology of breast carcinomas. To the best of our knowledge, the most recent case report describing this rare pathology was published six years ago. The mechanism controlling the development of this unique histological formation is still unknown. Further, the prognosis of patients with OGC involvement is also controversial. Case Summary: We report the case of a 48-year-old woman, who presented to the outpatient department with a palpable, growing, painless mass in her left breast for about one year. Sonography and mammography revealed a 26.5 mm × 18.8 mm asymmetric, lobular mass with circumscribed margin and the Breast Imaging Reporting and Data System was category 4C. Sono-guided aspiration biopsy revealed invasive ductal carcinoma. The patient underwent breast conserving surgery and was diagnosed with invasive breast carcinoma with OGCs, grade II, with intermediate grade of ductal carcinoma in situ (ER: 80%, 3+, PR: 80%, 3+, HER-2: negative, Ki 67: 30%). Adjuvant chemotherapy and post-operation radiotherapy were initiated thereafter. Conclusion: As a rare morphology of breast cancer, breast carcinoma with OGC occurs most often in relatively young women, has less lymph node involvement, and its occurrence is not race-dependent. Competing Interests: Conflict-of-interest statement: The authors declare no conflict of interest. (©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.) |
Databáze: | MEDLINE |
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