Safini Fatima, Bouchbika Zineb, Bennani Zineb, Belkheiri Sara, Attar Hicham El, Benchakroun Nadia, Jouhadi Hassan, Tawfiq Nezha, Sahraoui Souha, Benider Abdellatif
Service d'Oncologie et de Radiothérapie, CHU Ibn Rochd, Casablanca, Maroc.
Laboratoire d'Etude Anatomopathologique Moulay Driss Premier, Casablanca, Maroc.
Pan Afr Med J. 2016 Nov 29;25:205. doi: 10.11604/pamj.2016.25.205.10366. eCollection 2016.
Primitive large cell neuroendocrine tumor of the breast is an extremely rare entity. Less than ten cases have been reported in the literature. We report a new case of a 61-year old male patient presenting with locally advanced tumor of the right breast, immediately metastasized to the lungs and pleura, staged cT4bN1M1. The patient received eight cycles of Docetaxel-based chemotherapy every 21 days, with a good clinical and radiological response (>50%), followed by adjuvant tamoxifen with disease stabilization for 18 months. Immunohistochemistry is still essential to determine the neuroendocrine nature of this tumor. Treatment is not well codified due to the rarity of this type of cancer.
乳腺原发性大细胞神经内分泌肿瘤是一种极其罕见的疾病。文献报道的病例不足十例。我们报告一例新病例,患者为61岁男性,表现为右乳局部晚期肿瘤,已立即转移至肺和胸膜,分期为cT4bN1M1。该患者每21天接受8个周期的多西他赛化疗,临床和影像学反应良好(>50%),随后接受辅助他莫昔芬治疗,病情稳定了18个月。免疫组织化学对于确定该肿瘤的神经内分泌性质仍然至关重要。由于这类癌症罕见,其治疗方法尚未得到很好的规范。