AI Summary & Key Takeaways
AI InsightLocal recurrences or metastasis was not observed in the patient during 18 months follow-up after the radiotherapy.
📌 3 Key Takeaways
Abstract
The cystic hypersecretory ductal carcinoma of the breast are rare. These lesions of the breast are usually low-graded, but also can be observed as high-graded or invasive carcinomas. A 40-year-old woman admitted with a 3-month history of a mass in her left breast. Examination revealed a 2 cm mobile, painless, soft palpable lump mass in the upper inner quadrant of her left breast. Mammography and ultrasonographic findings were in accordance with fibroadenoma. The cytologic examination of the fine needle aspiration biopsy of the mass was reported to be non-diagnostic. An excisional biopsy of left breast was performed. Histopathologic examination revealed invasive cystic hypersecretory ductal carcinoma. The patient refused the modified radical mastectomy and underwent quadrantectomy and axillary dissection. No residual tumor was observed in the quadrantectomy material. Lymph nodes were 0/11. No complication was observed during the postoperative period and underwent adjuvant radiotherapy. Local recurrences or metastasis was not observed in the patient during 18 months follow-up after the radiotherapy.
Özet
Memenin kistik hipersekratuar duktal karsinomu oldukça nadirdir. Mememin bu lezyonları genellikle düşük derecelidir fakat yüksek dereceli yada invaziv karsinom da olabilir. 40 yaşında bayan hasta 3 aylık sol memesinde kitle hikayesiyle başvurdu. Fizik muayenede sol meme üst iç kadranda 2 cm lik hareketli, ağrısız, yumuşak kitle mevcuttu. Mamografi ve meme ultrasonu sonucu fibroadenom ile uyumlu idi. İnce iğne aspirasyon biyopsi sonucu tanısal değildi. Eksizyonal biyopsi uygulandı. Histopatolojik inceleme sonucu invaziv kistik hipersekretuar duktal karsinom olarak geldi. Modifiye radikal mastektomiyi kabul etmeyen hastaya sol kadrantektomi ve aksiler disseksiyon uygulandı. Kadrantektomi materyalinde ve 11 aksiller lenf nodunun tamamında tümör saptanmadı. Postoperatif dönemde komplikasyon gelişmedi. Hastaya adjuvant radyoterapi uygulandı. Radyoterapi sonrası 18 aydır takipte olan hastada tekrarlama saptanmadı.