Primary epidermoid carcinoma of the breast presenting as a breast abscess and sepsis

Damin, Andréa Pires Souto; Nascimento, Fernanda Costa do; Andreola, João; Cerutti, Talita; Roehe, Adriana Vial; Damin, Daniel de Carvalho

doi:10.1590/s1516-31802011000600009

Cited by 10 publications

(22 citation statements)

References 23 publications

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“…Some authors have noted only rare involvement of the lymph nodes [ 1 – 4 ]. There are no typical findings on the mammogram,ultrasound may show a complicated cyst or an inflammatory process [ 5 ]. Our patient was 43 year old, without significant medical history, she had an infected mass of 9cm associated with ipsilateral axillary lymphadenopathy, without typical findings on the mammogram.…”

Section: Discussionmentioning

confidence: 99%

Primary squamous cell carcinoma of the breast: a case report and review of literature

Seddik¹,

Brahmi²,

Afqir³

2015

Pan Afr Med J

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Primary squamous cell carcinoma is a well known malignancy of the skin and other organs composed of squamous cells, which are normally not found inside the breast. Therefore, a primary squamous cell carcinoma of the breast is an exceedingly uncommon phenomen and the management of this type of disease is still unclear. We report the case of a 43-year-old Moroccan woman, without significant medical history, presented an infected mass of 9 cm in the left breast associated with ipsilateral axillary lymphadenopathy. The mass's surgical biopsy revealed a triple negative primary squamous cell carcinoma of the breast. She underwent a neoadjuvant chemotherapy using 5 Fluoro-Uracil and platinum. After three courses, she presented a contralateral breast progression and apparition of metastasis at D10. She received one course of a palliative chemotherapy based on weekly paclitaxel stopped because of her peformans status deterioration. She died 7 months after her admission.

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Section: Discussionmentioning

confidence: 99%

Primary squamous cell carcinoma of the breast: a case report and review of literature

Seddik¹,

Brahmi²,

Afqir³

2015

Pan Afr Med J

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“…Tanıda mamografiye özgü bir bulgu yokken, USG'de kompleks kistik bileşenlerden oluşan solid hipoekojenik kitle görüntü-sünün tanı için daha yararlı olabileceği bildirilmiştir [3]. Oldukça nadir olarak meme apsesi şeklinde prezente olur [5,6]. Bizim olgumuzda da meme apsesi semptom ve bulguları üzerine istenilen USG'de yoğun içerikli kistik lezyon izlenmiştir.…”

Section: Discussionunclassified

“…Diğer meme tümör-lerinin aksine aksiller metastaz %10-30 arasında görülmektedir [3]. Ancak tedavide kemoterapinin (KT) rolü ve etkinliği konusunda kısıtlı bilgi olduğun-dan aksiller diseksiyon mutlaka önerilmektedir [6]. Meme koruyucu cerrahi tedavi seçeneklerinin ise etkinliği ile ilgili bir çalışma yoktur [9].…”

Section: Discussionunclassified

“…Çok nadir olarak MPSHK meme apsesi olarak prezente olabilir. Literatürde apse ile prezente olan MPSHK'lu oldukça sınırlı sayıda hasta bildirilmiştir [5,6]. Bu çalışmada, meme apsesi ön tanısıyla bir kaç kez drenaj ve antibiyotik tedavisi uygulanan ancak takiplerinde yara iyileşmesinin gecikmesi üzerine alınan doku biyopsisinde MPSHK tanısı koyulabilen 72 yaşındaki kadın olgu sunulmuştur.…”

Section: Introductionunclassified

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Primary squamous cell carcinoma of breast presenting with symptoms of breast abscess

Habibi

Ozener²,

Karakaş³

et al. 2015

J Clin Exp Invest

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Although breast abscess is a common inflammatory breast disease, there are rare cases that were found to be associated with malignancy. Primary squamous cell carcinoma of breast (PSCCB) is an example of this. Only a very limited number of PSCCB patients presented with an abscess are reported in the literature. Although rarely seen, postmenopausal women presented with symptoms of breast abscess and exhibiting a poor response to treatment, the possibility of (PSCCB) disease should always be considered in the differential diagnosis. J Clin Exp Invest 2015; 6 (3): 318-320 Key words: Abscess, breast, squamous cell carcinoma ÖZET Meme apsesi, memenin sık karşılaşılan enflamatuar bir hastalığı olmasına karşın nadiren de olsa altından malign özellikli durumlar çıkabilmektedir. Memenin primer skuamöz hücreli karsinomu (MPSHK) buna örnektir. Literatür-de apse ile prezente olan MPSHK oldukça sınırlı sayıda hastada bildirilmiştir. Nadir olarak görülmesine rağmen, meme apsesi belirtileri ile başvuran ve tedaviye zayıf yanıt gösteren postmenopozal kadınlarda MPSHK hastalığı olasılığı her zaman ayırıcı tanıda düşünülmelidir.

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“…However, there are several reports of primary squamous cell carcinoma of the breast presenting as breast abscessesGupta et al, (5) Damin et al, (6) Tan et al (7) and Salemis et al (8) reported non-lactating breast abscesses in women aged 39 -70 years, whose primary squamous cell carcinomas of the breast were diagnosed using histologic examination of abscess walls. Primary squamous cell carcinoma of the breast is rare, accounting for less than 0.4% of all cases of breast cancer.…”

Section: Discussionmentioning

confidence: 99%

Lactating breast abscess: a rare presentation of adenosquamous breast carcinoma

Alipour

Seifollahi

Anbiaee

2013

smedj

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C a s e R e p o r t e247 I NTRO D U C TIO NInflammatory disorders of the breast, including mastitis and breast abscesses, are generally benign diseases that rarely harbour malignancy. Although the occurrence of cancer is not anticipated in true breast abscesses in nursing mothers, it can occasionally happen. Herein, we present a rare case of adenosquamous carcinoma of the breast in a 33-year-old lactating woman who presented with a breast abscess. CA S E R EPO RTA 33-year-old lactating woman presented to our breast clinic with signs of inflammation in her left breast -the skin was largely erythematous and warm over a tender 10-cm fluctuating mass, and several soft, non-suspicious lymphadenopathies were observed in the left axilla. According to the patient, the inflammation began two months prior to presentation and temporarily subsided with the use of oral antibiotics; when the use of oral antibiotics was discontinued, the inflammation flared up. Ultrasonography performed one month prior to presentation showed a multiloculated 93-mm × 82-mm × 63-mm fluidcontaining cavity in the left breast, which was suggestive of a breast abscess, and large reactive axillary lymph nodes in the same side.Intravenous antibiotics were prescribed, lactation ceased, and the cavity was surgically drained, yielding more than 300 mL of diluted pus. As routinely done in our institution, multiple biopsies were performed using the tissue obtained from the abscess wall. of the chest, abdomen and pelvis, and a bone scan of the whole body, was negative. The patient had no family history of breast cancer, and no other known risk factor was detected.Before proceeding with cancer treatment, we had to first determine whether the abscess was an inflammatory carcinoma or an invasive noninflammatory carcinoma presenting as an abscess. Although the inflammatory signs of the breast were in favour of the former diagnosis, a mismanaged large and persistent breast abscess is not uncommon in milk-laden breasts. Hence, the possibility of a lactating abscess superimposed on a typical invasive tumour was considered. However, since the pathologist who reviewed the histology slides could not detect any cancerous involvement in the dermal lymphatics, it was decided that the disease would be treated as a large noninflammatory invasive breast cancer.Following the diagnosis, the surgical wound was immediately closed to allow rapid initiation of neoadjuvant chemotherapy, which involved four cycles of treatment with cyclophosphamide, epirubicin and 5-fluorouracil, followed by four cycles of treatment with taxotere. As the patient did not consent to a mastectomy, breast-conserving surgery with a wide normal margin and axillary dissection was performed. The postoperative course was uneventful. Postoperative radiotherapy consisted of a 5,000-cGy breast and regional lymphatic area irradiation and a 1,000-cGy irradiation boost to the tumour bed. ABSTRACT We report the case of a 33-year-old lactating woman who presented with a 10-cm breast abscess.Biopsy of the abscess w...

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Primary epidermoid carcinoma of the breast presenting as a breast abscess and sepsis

Cited by 10 publications

References 23 publications

Primary squamous cell carcinoma of the breast: a case report and review of literature

Primary squamous cell carcinoma of the breast: a case report and review of literature

Primary squamous cell carcinoma of breast presenting with symptoms of breast abscess

Lactating breast abscess: a rare presentation of adenosquamous breast carcinoma

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