Ilhan Enver, Vardar Enver, Ozkok Guliz, Sezgin Arsenal, Sahin Safak, Teker Kenan, Postaci Hakan, Yildirim Mehmet
Department of General Surgery, Izmir Bozyaka Education and Research Hospital, Izmir, Turkey.
J Clin Med Res. 2010 Mar 20;2(2):96-8. doi: 10.4021/jocmr2010.03.275w. Epub 2010 Mar 25.
Carcinosarcoma of the breast, also known as metaplastic carcinoma, is rare with very few cases reported in the literature. A 46-year old female patient presented with a mass in her left breast. Physical examination, ultrasonography and mammography findings were consistent with malignancy. The mass was totally removed. Histopathological examination revealed carcinosarcoma of the breast. Histologic grade of the tumour was III. Ki67 proliferation index was found 40% positive. Tumour cells were positive for p53 (70% positive), c-erb-B2 (5% positive), pancytokeratin and EMA in carcinomatous areas, and vimentin in sarcomatous areas. There was no metastasis in axillary lymph node and distant metastasis. The patient is receiving chemotherapy and is under follow-up in the 54th month. Along with a review of the literature, we present the information regarding the clinical and histological findings and treatment of the patient who was operated due to breast carcinosarcoma.
Breast; Carcinoma; Carcinosarcoma.
乳腺肉瘤样癌,也称为化生性癌,非常罕见,文献报道的病例很少。一名46岁女性患者左乳出现肿块。体格检查、超声检查和乳房X线摄影检查结果均符合恶性肿瘤表现。肿块被完全切除。组织病理学检查显示为乳腺肉瘤样癌。肿瘤的组织学分级为III级。Ki67增殖指数为40%阳性。肿瘤细胞在癌区p53呈阳性(70%阳性)、c-erb-B2呈阳性(5%阳性)、全细胞角蛋白和EMA呈阳性,在肉瘤区波形蛋白呈阳性。腋窝淋巴结无转移,也无远处转移。该患者正在接受化疗,目前处于第54个月随访中。结合文献复习,我们呈现了该例因乳腺肉瘤样癌接受手术治疗患者的临床、组织学检查结果及治疗相关信息。
乳腺;癌;肉瘤样癌