Change of HER2 status during disease recurrence predicts good prognosis for primary squamous cell carcinoma of the breast

Autor: Xin Zhou, Yeli Yue, Jie Luo, Juanhui Dong, Yong Cao, Xinrui Liang, Xiaohua Zeng
Rok vydání: 2019
Předmět:
Zdroj: Medicine
ISSN: 1536-5964
0025-7974
DOI: 10.1097/md.0000000000014654
Popis: Rationale: Primary squamous cell carcinoma (PSCC) of the breast is one of the least common types of breast cancer. Adjuvant treatment for PSCC remains an unresolved issue. Patient concerns: We reported a case of a 48-year-old postmenopausal female patients with a 2 × 2.5 cm lump presented with no symptoms. Diagnoses: This patient was diagnosed as PSCC of the breast. The original tumor and first recurrence exhibited triple negative phenotype, whereas the second recurrence was HER2-positive. Interventions: A tumorectomy with latissimus dorsi flap reconstruction for the second recurrence was performed followed by targeted therapy with trastuzumab. Outcomes: The patient had a complete remission, which was sustained over the 25 months of follow-up after the tumorectomy. Lessons: This is the first reported case in literature of a breast PSCC patient with switched immunohistochemical phenotypes during disease recurrence. Surgical resection with flap reconstruction and targeted therapy successfully treated the recurrence.
Databáze: OpenAIRE