Abstract

ESPINOZA, Luis Darío; LEON, Linerys; BRAVO BELLO, Yris  and  SOCORRO, Grace. Carcinoma adenoideo quístico de la mama: A propósito de un caso. Rev. venez. oncol. [online]. 2010, vol.22, n.2, pp.117-122. ISSN 0798-0582.

OBJECTIVE: Adenoid cystic breast carcinoma is rare variant occurring less than 1 %. The presentation of this case is related to the rarity of it, because the incidence of this tumor in the breast is 0.1 %. METHOD: Female patient, 56 years old, menarche: 15 years. III pregnancy: IB, IP, IA. Menopause: 2002. Not receiving substitutive hormone therapy. No personal and family history of breast pathology. She came in August, 2007 for breast evaluation, physicalexamination:Normal. Mammography:Breastwith moderate amount of fibroglandular tissue, nodular opacity in union of lower quadrants right breast. Breast ultrasound: Solid image, with regular edges, located at junction of lower quadrants right breast, measuring 6.1 mm x 7.1 mm x 7.0 mm, which corresponds with nodular mammographic opacity. DISCUSSION: Mast logical evaluation class IV. Histological evaluation of lesion, using the technique of microbiopsia ecoguide. Pathology report: Adenoid cystic carcinoma, nuclear grade II. This atypical mitotic activity, stromal desmoplasia severe. Immunohistochemistry: CK7 + (secretory cells), CK7/CK14 + (Adenosquamous cell), type IV collagen. Partial mastectomy was performed in oncology right after echolocate confirmation by imaging, margins cut more frozen sentinel node. With pathology report: Adenoid cystic carcinoma of 0.7 cm. nuclear grade I, atypical mitotic activity, edge of surgical resection and additional margin free of injury. Additional mammary pathology: Fibrocystic status, ductal ectasia. A sentinel lymph node without evidence of malignancy; March 2009, the patient comes to control,where assessment is completed mast logical class IIRF.

Keywords : Breast; cancer; biopsy; adenoid; carcinoma; cystic.