Volume 23, Issue 3, June 2018, Pages 254–258
S. Mouffak1, F. CHERRABI2, Jaouad Kouach3, and Driss Moussaoui4
1 HOPITAL MILITAIRE D’INSTRUCTION MOHAMED V, RABAT, Morocco
2 HOPITAL MILITAIRE D’INSTRUCTION MOHAMED V, RABAT, Morocco
3 Faculté de Médecine et de Pharmacie, Université Mohamed V, Rabat, Morocco
4 Department of Gynecology-Obstetric, Military Training Hospital Med V, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco
Original language: French
Copyright © 2018 ISSR Journals. 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.
This observation represents an unusual clinical aspect of a rare breast cancer, mucinous carcinoma which represents 1% of all breast cancers, with its two pure and mixed forms whose treatment and prognosis are not identical. The pure form has a good prognosis despite the exceptional clinical presentation of this type of breast cancer hence the interest of this case study, Mrs. L, a 70 year-old without risk factors admitted for mastitis of the left breast with rapid installation over 2 months, suspected of malignancy, yet the couple mammography / ultrasound did not manifest this malignancy, it shows an aspect of opacity well circumscribed of sharp contours. After the needle biopsy, the diagnosis of mucinous carcinoma was made which determined a suitable management is a neoadjuvant chemotherapy followed by a radical treatment, the hormonotherapy was continued in front of the expression of the hormonal receptors. Post-treatment surveillance did not report distant recurrence or metastasis.
Author Keywords: postmenopausal, inflammatory breast, mucinous, MR imaging, pure form.
S. Mouffak1, F. CHERRABI2, Jaouad Kouach3, and Driss Moussaoui4
1 HOPITAL MILITAIRE D’INSTRUCTION MOHAMED V, RABAT, Morocco
2 HOPITAL MILITAIRE D’INSTRUCTION MOHAMED V, RABAT, Morocco
3 Faculté de Médecine et de Pharmacie, Université Mohamed V, Rabat, Morocco
4 Department of Gynecology-Obstetric, Military Training Hospital Med V, Faculty of Medicine and Pharmacy, Mohammed V University, Rabat, Morocco
Original language: French
Copyright © 2018 ISSR Journals. 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.
Abstract
This observation represents an unusual clinical aspect of a rare breast cancer, mucinous carcinoma which represents 1% of all breast cancers, with its two pure and mixed forms whose treatment and prognosis are not identical. The pure form has a good prognosis despite the exceptional clinical presentation of this type of breast cancer hence the interest of this case study, Mrs. L, a 70 year-old without risk factors admitted for mastitis of the left breast with rapid installation over 2 months, suspected of malignancy, yet the couple mammography / ultrasound did not manifest this malignancy, it shows an aspect of opacity well circumscribed of sharp contours. After the needle biopsy, the diagnosis of mucinous carcinoma was made which determined a suitable management is a neoadjuvant chemotherapy followed by a radical treatment, the hormonotherapy was continued in front of the expression of the hormonal receptors. Post-treatment surveillance did not report distant recurrence or metastasis.
Author Keywords: postmenopausal, inflammatory breast, mucinous, MR imaging, pure form.
Abstract: (french)
Cette observation représente un aspect clinique inhabituel d’un cancer rare du sein, le carcinome mucineux qui représente 1% de tous les cancers du sein, avec ses deux formes pures et mixte dont le traitement et le pronostic ne sont pas identiques. La forme pure étant de bon pronostic s’oppose avec une présentation clinique exceptionnelle pour ce type de cancer du sein, d’où l’intérêt de ce cas étudié, de Mme L. âgée de 70 ans sans facteurs de risque admise dans un tableau de mastite du sein gauche d’installation rapide sur 2 mois, suspecte de malignité pourtant la traduction radiologique par le couple mammographie/échographie n’ayant pas manifester cette malignité devant un aspect d’opacité bien circonscrite de contours nets. Après la micropsie le diagnostic de carcinome mucineux pur de bas grade a été porté ce qui a déterminé une prise en charge adapté soit une chimiothérapie néoadjuvante suivie d’un traitement radical, l’hormonothérapie a été poursuivie devant l’expression des récepteurs hormonaux. La surveillance post thérapeutique n’a pas signalé de récidive ni de métastase à distance.
Author Keywords: postménopause, sein inflammatoire, mucineux, IRM, forme pure.
How to Cite this Article
S. Mouffak, F. CHERRABI, Jaouad Kouach, and Driss Moussaoui, “Carcinome mucineux pur : un aspect clinique inhabituel mimant un carcinome inflammatoire,” International Journal of Innovation and Applied Studies, vol. 23, no. 3, pp. 254–258, June 2018.
