Shin Young Duck, Lee Seul Kee, Kim Kyu Sun, Park Mi Ja, Kim Joo Heon, Yim Hyun Sun, Choi Young Jin
Department of Surgery, Eulji University Hospital, Eulji University School of Medicine, Dunsan-dong 1306, Seo-gu, Daejeon 135-710, Korea.
World J Surg Oncol. 2014 Jan 8;12:5. doi: 10.1186/1477-7819-12-5.
There have been some reports of coincidental presentation of breast carcinoma and phyllodes tumor in the same breast. Most of the cases were carcinoma that arose from a phyllodes tumor with a histologically identified transitional area, and they behaved less aggressively than the usually encountered carcinoma. Collision tumors are rare clinical entities in which two histologically distinct tumor types show involvement at the same site. The occurrence of these tumors in the breast is extremely rare. Here, we report a case of 45-year-old woman who had both invasive ductal carcinoma as the finding of inflammatory carcinoma and a malignant phyllodes tumor in the same breast. There was no evidence of a transitional area between the phyllodes tumor and the invasive ductal carcinoma. To our knowledge, this is the first report of a collision tumor of inflammatory breast carcinoma coincident with a malignant phyllodes tumor in same breast.
已有一些关于乳腺癌和叶状肿瘤在同一乳腺中同时出现的报道。大多数病例是起源于叶状肿瘤且有组织学确定的移行区的癌,其行为比通常遇到的癌侵袭性小。碰撞瘤是罕见的临床实体,其中两种组织学上不同的肿瘤类型在同一部位受累。这些肿瘤在乳腺中极为罕见。在此,我们报告一例45岁女性,其同一乳腺中既有作为炎性癌表现的浸润性导管癌,又有恶性叶状肿瘤。在叶状肿瘤和浸润性导管癌之间没有移行区的证据。据我们所知,这是同一乳腺中炎性乳腺癌与恶性叶状肿瘤碰撞瘤的首例报告。