Carcinosarcoma of breast - A chimera among breast neoplasms

Malignant phyllodes, along with ductal carcinoma, is known as metaplastic cancer of the breast. This tumor is additionally known as breast carcinosarcoma. Malignant phyllodes in conjunction with ductal carcinoma is a rare finding in routine clinical practice. We describe the case report of a 47-year...

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Bibliographic Details
Published in:Journal of family medicine and primary care 2024-05, Vol.13 (5), p.2149-2151
Main Authors: Tomey, Vandana, Ashwini Kumar, Raj Kumar, Nikhade, Pravin, Akulwar, Anil
Format: Article
Language:English
Subjects:
breast cancer
carcinosarcoma
ductal carcinoma in situ
modified radical mastectomy
phylloides tumor
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Summary:Malignant phyllodes, along with ductal carcinoma, is known as metaplastic cancer of the breast. This tumor is additionally known as breast carcinosarcoma. Malignant phyllodes in conjunction with ductal carcinoma is a rare finding in routine clinical practice. We describe the case report of a 47-year-old female patient who arrived with a large right breast mass. A core biopsy was performed, and histopathological examination indicated that the tumor was a malignant phyllodes tumor. A positron emission tomography (PET) scan revealed hyper-metabolic and hypo-metabolic tumors with perilesional stranding and satellite nodularity. There were a few metastatic right axillary nodes visible. There was no indication of distant metastases. Due to the presence of both components, a modified radical mastectomy surgery with axillary dissection was undertaken for this patient. Histopathological analysis of paraffin sections revealed ductal carcinoma (DCIS) comedo-epithelial component and spindle-shaped cells with hyper-chromatic oval nuclei and scanty cytoplasm.
ISSN:2249-4863
2278-7135
DOI:10.4103/jfmpc.jfmpc_983_23