Carcinoma adenoide quístico primario y multicéntrico de mama
- Carvajal Balaguera, J.
- González Morales, María Luisa
- Fernández Isabel, P.
- Martín García-Almenta, Mercedes
- Camuñas Segovia, Juan
- Cerquella Hernández, C.
ISSN: 1139-8264
Any de publicació: 2013
Volum: 16
Número: 3
Pàgines: 133-137
Tipus: Article
Altres publicacions en: Revista española de investigaciones quirúrgicas
Resum
Adenoid cystic carcinoma (ACC) the breast is a rare entity and is less than 0.1% of all the tumors involving the breast. We report a 46-year-old woman, who consulted for filing a painful lump in the right breast. The mammography and ultrasound revealed a focal asymmetric density pseudonodular appearance on ISC. The pathological study and immunohistochemical tests after performing thick needle biopsy showed an ACC. MRI revealed another malignant tumor on IIC -not detected in previous radiological tests- diagnosed as ductal in situ carcinoma, intermediate nuclear grade, at another centre. Due to multicentric lesion nature, we performed simple mastectomy without axillary dissection, because selective biopsy of sentinel lymph node was negative. The patient received postoperative chemotherapy. There is no evidence of recurrence or distant metastasis in follow up 6 months after surgery. We discuss aspects related to the diagnosis, immunohistochemical study, differential diagnosis, treatment and prognosis of this disease.