Kapoor Vatsala, Moses Cara, Hanna Sarah P, Odom John W
Medical College of Georgia, 1120 5th St, Augusta, GA 30912, United States.
Department of Surgery, St. Josephs/Candler Health System, 11704 Mercy Boulevard, Savannah, GA 31419, United States.
J Surg Case Rep. 2025 Apr 19;2025(4):rjaf226. doi: 10.1093/jscr/rjaf226. eCollection 2025 Apr.
Breast adenoid cystic carcinoma (BACC) is a rare occurrence constituting less than 0.1% of primary breast cancers. BACC is even more rare in male patients. Furthermore, there are currently no concrete treatment guidelines for BACC. Therefore, it is imperative to conduct a thoughtful evaluation and diagnostic workup when a potential case is encountered. We report a 63-year old male who initially presented to the dermatologist with a nonhealing inflamed leiomyoma of the left breast, raising suspicion for inflammatory breast cancer. A percutaneous biopsy was performed, and pathology revealed fragments of cribriform and papillary-like carcinoma, leading to a differential diagnosis including adenoid cystic carcinoma and basal-like ductal carcinoma . A modified radical mastectomy was performed, and final surgical pathology revealed BACC. The patient did not receive any adjuvant therapy and is currently without any evidence of disease.
乳腺腺样囊性癌（BACC）是一种罕见疾病，在原发性乳腺癌中占比不到0.1%。BACC在男性患者中更为罕见。此外，目前尚无针对BACC的具体治疗指南。因此，当遇到疑似病例时，必须进行全面的评估和诊断检查。我们报告一例63岁男性患者，最初因左侧乳腺炎性平滑肌瘤不愈合就诊于皮肤科医生，引发了炎性乳腺癌的怀疑。进行了经皮活检，病理显示筛状和乳头状癌碎片，鉴别诊断包括腺样囊性癌和基底样导管癌。实施了改良根治性乳房切除术，最终手术病理显示为BACC。该患者未接受任何辅助治疗，目前无疾病证据。
