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      Primary Neuroendocrine Breast Carcinoma in a 13-Year-Old Girl: Ultrasonography and Pathology Findings

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          Abstract

          Neuroendocrine carcinoma (NEC) of the breast is a rare disease and has been scarcely reported by African authors. The authors report a case of breast NEC in a 13-year-old African girl initially diagnosed as an atypical adenofibroma by ultrasonography. Ultrasound-guided biopsy and conventional histological examination indicated two potential diagnoses: primary malignant non-Hodgkin's lymphoma and undifferentiated carcinoma. According to immunohistochemistry performed on paraffin blocks in France, infiltrating ductal carcinoma with a strong neuroendocrine component was confirmed by CD56, CD57, and chromogranin A markers.

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          [WHO classification of breast tumors and tumors of the female genital organs: pathology and genetics].

          W Böcker (2001)
          Under the supervision of P. Kleihues and L. H. Sobin, the "World Health Organisation Classification of Tumours" with its numerous volumes is currently being re-edited. Following the first three volumes on "Central Nervous System", "Digestive System" and "Haematopoetic System", the volume on "Tumours of the Breast and Female Genital Organs" will be published this autumn. This volume will be edited by F. Tavassoli and P. Devilee. The new WHO books serve a double function of text books and atlases of tumour pathology. The first part of the new volume includes the genetics and pathology of the entire spectrum of malignant tumours and their precursor lesions. The following part is devoted to benign proliferative lesions.
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            Neuroendocrine Carcinoma of the Breast: Current Evidence and Future Perspectives.

            Alessandro Inno, Giuseppe Bogina, Monica Turazza … (2016)
            : Neuroendocrine carcinoma of the breast is considered a rare entity, and for this reason there are no data from prospective clinical trials on its optimal management. Early stage tumors are usually treated with the same strategy used for the other types of invasive breast cancer. Anthracycline- and taxane-based regimens represent the most frequently administered chemotherapy in neoadjuvant and adjuvant setting, as well as for metastatic disease, although combinations of platinum compounds and etoposide have been widely used, in particular for small-cell histology and tumors with a high proliferation index. For metastatic disease, a multimodality therapeutic strategy can be considered on an individual basis, with chemotherapy, endocrine therapy, peptide receptor radionuclide therapy, radiation therapy, surgery, or a combination of the above. In the near future, a better knowledge of the biology of these tumors will hopefully provide new therapeutic targets for personalized treatment. In this review, we discuss the current evidence and the future perspectives on diagnosis and treatment of neuroendocrine carcinoma of the breast.
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              Neuroendocrine differentiated breast carcinoma: imaging features correlated with clinical and histopathological findings.

              Isil Günhan-Bilgen, Osman Zekioglu, Esin Emin Ustün … (2003)
              The aim of this study was to describe the imaging features of neuroendocrine differentiated breast carcinoma (NEDBC) and to correlate the radiological findings with the clinical and histopathological findings. A retrospective review of the mammograms of 1845 histopathologically proven breast cancer cases revealed five NEDBC. The clinical, imaging, and histopathological findings were analyzed. On mammography, a high-density mass was seen in all patients. The shape of the mass was round in 4 and irregular in 1 patient. The margins were spiculated in 2, indistinct in 1, microlobulated in 1, and partially obscured in 1 patient. On sonography, 4 patients had homogeneously hypoechoic masses with normal sound transmission. In 1 patient the mass was heterogeneously hypoechoic with mild posterior acoustic enhancement. The margins were microlobulated in 2, irregular in 2, and well-circumscribed in 1 patient. Neuroendocrine differentiated breast carcinoma should be included in the differential diagnosis of mammographically dense, round masses with predominantly spiculated or lobulated margins. Sonographically, they mostly present as irregular or microlobulated, homogeneously hypoechoic masses with normal sound transmission.
              Article 0 comments Cited 25 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Mazamaesso Tchaou:
                ORCID: http://orcid.org/0000-0003-4864-4123
                Journal
                Journal ID (nlm-ta): Case Rep Radiol
                Journal ID (iso-abbrev): Case Rep Radiol
                Journal ID (publisher-id): CRIRA
                Title: Case Reports in Radiology
                Publisher: Hindawi
                ISSN (Print): 2090-6862
                ISSN (Electronic): 2090-6870
                Publication date (Print): 2017
                Publication date (Electronic): 10 September 2017
                Volume: 2017
                Electronic Location Identifier: 7915806
                Affiliations
                1Department of Radiology, The University Teaching Hospital of Lomé, Lomé, Togo
                2Department of Pathology, The University Teaching Hospital of Lomé, Lomé, Togo
                3Department of Histology-Embryology, The University Teaching Hospital of Lomé, Lomé, Togo
                4Department of Endocrinology and Nephrology, The University Teaching Hospital of Lomé, Lomé, Togo
                5Department of Pediatric Surgery, The University Teaching Hospital of Lomé, Lomé, Togo
                6Department of Obstetrics and Gynecology, The University Teaching Hospital of Lomé, Lomé, Togo
                7Department of Clinical Oncology, The University Teaching Hospital of Lomé, Lomé, Togo
                Author notes

                Academic Editor: Samer Ezziddin

                Author information
                http://orcid.org/0000-0003-4864-4123
                http://orcid.org/0000-0002-6932-3540
                Article
                DOI: 10.1155/2017/7915806
                PMC ID: 5610806
                SO-VID: c0c866dc-9680-4684-8b94-5906ba008720
                Copyright © Copyright © 2017 Mazamaesso Tchaou et al.
                License:

                This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Date received : 15 May 2017
                Date revision received : 17 July 2017
                Date accepted : 7 August 2017
                Categories
                Subject: Case Report

                ScienceOpen disciplines: Radiology & Imaging
                Data availability:
                ScienceOpen disciplines: Radiology & Imaging

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