Trabelsi Amel, Abdelkrim Soumaya Ben, Stita Wided, Boudagga Mohamed Zaher, Hammedi Faten, Mokni Moncef
Department of Pathology, Farhat Hached Hospital, Sousse, Tunisia.
Department of Medical Oncology, Farhat Hached Hospital, Sousse, Tunisia.
World J Oncol. 2010 Feb;1(1):42-44. doi: 10.4021/wjon2010.01.1203. Epub 2010 Feb 1.
A rare case of a borderline phyllodes tumor with simultaneous intraductal and infiltrating duct carcinoma is reported. The patient was a 52-year-old woman with a breast tumor detected by physical examination. A simple mastectomy was performed. The excised tumor had a macroscopic appearance of a phyllodes tumor. After histological examination, the diagnosis of ductal carcinoma within a borderline phyllodes tumor was made. Immunohistochemical staining revealed that the epithelial component was positive for Epithelial Membrane Antigen and cytokeratin. No metastasis was detected in the axillary lymph nodes and the patient didn't receive any adjuvant therapy. No recurrence or metastasis has been observed 38 months after the surgery.
报道了一例罕见的交界性叶状肿瘤同时合并导管内癌和浸润性导管癌的病例。患者为一名52岁女性，通过体格检查发现乳腺肿瘤。实施了单纯乳房切除术。切除的肿瘤在大体上表现为叶状肿瘤。经组织学检查，诊断为交界性叶状肿瘤内的导管癌。免疫组织化学染色显示上皮成分上皮膜抗原和细胞角蛋白呈阳性。腋窝淋巴结未检测到转移，患者未接受任何辅助治疗。术后38个月未观察到复发或转移。
