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Squamous cell carcinoma of the breast: a case report.

Flikweert ER, Hofstee M, Liem MS - World J Surg Oncol (2008)

Bottom Line: There is a possible explanation for these findings.After the operation the pathological examination revealed a primary squamous cell carcinoma of the breast.Therefore, pathological examination of these apparent benign abnormalities is mandatory.

View Article: PubMed Central - HTML - PubMed

Affiliation: Deventer Hospital, Department of Surgery, Postbus 5001, 7400 GC Deventer, the Netherlands. elviraflikweert@hotmail.com

ABSTRACT

Background: Squamous cells are normally not found inside the breast, so a primary squamous cell carcinoma of the breast is an exceptional phenomenon. There is a possible explanation for these findings.

Case presentation: A 72-year-old woman presented with a breast abnormality suspected for breast carcinoma. After the operation the pathological examination revealed a primary squamous cell carcinoma of the breast.

Conclusion: The presentation of squamous cell carcinoma could be similar to that of an adenocarcinoma. However, a squamous cell carcinoma of the breast could also develop from a complicated breast cyst or abscess. Therefore, pathological examination of these apparent benign abnormalities is mandatory.

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Related in: MedlinePlus

Mammogram of the of the right breast of the patient in two directions. Clearly visible the mass, located behind the nipple.
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Figure 1: Mammogram of the of the right breast of the patient in two directions. Clearly visible the mass, located behind the nipple.

Mentions: Physical examination revealed an elastic swelling, located centrally in the right breast, measuring about five centimetres across, without fixation to the skin or pectoralis major muscle fascia. The tumour appeared malignant. No abnormalities were observed in the left breast, nor in axillar or supraclavicular lymph nodes. A digital mammogram was performed and showed a mass of 32 millimetres with spiculated margins, positioned five centimetres behind the nipple. Ultrasound of the lesion confirmed this. The radiologist classified the mass as a suspicious abnormality (figure 1). A fine-needle aspiration (FNA) of the swelling was taken. The pathology report confirmed the presence of a malignancy. The pathologist described atypical epithelial cells with polymorphism of the nucleoli, and the conclusion was adenocarcinoma of the breast. An additional ultrasound of the right axilla was performed. It showed a lymph node of 1.5 centimetre, without pathological characteristics. The patient and her family were informed thoroughly about the different treatment possibilities. The decision was made to perform a mastectomy and a sentinel node procedure.


Squamous cell carcinoma of the breast: a case report.

Flikweert ER, Hofstee M, Liem MS - World J Surg Oncol (2008)

Mammogram of the of the right breast of the patient in two directions. Clearly visible the mass, located behind the nipple.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2626594&req=5

Figure 1: Mammogram of the of the right breast of the patient in two directions. Clearly visible the mass, located behind the nipple.
Mentions: Physical examination revealed an elastic swelling, located centrally in the right breast, measuring about five centimetres across, without fixation to the skin or pectoralis major muscle fascia. The tumour appeared malignant. No abnormalities were observed in the left breast, nor in axillar or supraclavicular lymph nodes. A digital mammogram was performed and showed a mass of 32 millimetres with spiculated margins, positioned five centimetres behind the nipple. Ultrasound of the lesion confirmed this. The radiologist classified the mass as a suspicious abnormality (figure 1). A fine-needle aspiration (FNA) of the swelling was taken. The pathology report confirmed the presence of a malignancy. The pathologist described atypical epithelial cells with polymorphism of the nucleoli, and the conclusion was adenocarcinoma of the breast. An additional ultrasound of the right axilla was performed. It showed a lymph node of 1.5 centimetre, without pathological characteristics. The patient and her family were informed thoroughly about the different treatment possibilities. The decision was made to perform a mastectomy and a sentinel node procedure.

Bottom Line: There is a possible explanation for these findings.After the operation the pathological examination revealed a primary squamous cell carcinoma of the breast.Therefore, pathological examination of these apparent benign abnormalities is mandatory.

View Article: PubMed Central - HTML - PubMed

Affiliation: Deventer Hospital, Department of Surgery, Postbus 5001, 7400 GC Deventer, the Netherlands. elviraflikweert@hotmail.com

ABSTRACT

Background: Squamous cells are normally not found inside the breast, so a primary squamous cell carcinoma of the breast is an exceptional phenomenon. There is a possible explanation for these findings.

Case presentation: A 72-year-old woman presented with a breast abnormality suspected for breast carcinoma. After the operation the pathological examination revealed a primary squamous cell carcinoma of the breast.

Conclusion: The presentation of squamous cell carcinoma could be similar to that of an adenocarcinoma. However, a squamous cell carcinoma of the breast could also develop from a complicated breast cyst or abscess. Therefore, pathological examination of these apparent benign abnormalities is mandatory.

Show MeSH
Related in: MedlinePlus