Primary squamous cell carcinoma complicated with invasive ductal carcinoma of breast

IF 0.2 Q4 ONCOLOGY Current problems in cancer. Case reports Pub Date : 2025-03-01 Epub Date: 2025-03-06 DOI:10.1016/j.cpccr.2025.100361
Chen Fan , Linhui Fang , Li Yang , Fan Wang
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Abstract

Background

Primary Squamous Cell Carcinoma (SCC) of the breast, a rare subtype of metaplastic carcinoma, is estimated to occur in <0.1 % of breast cancer cases. In clinical practice, the coexistence of primary SCC with Invasive Ductal Carcinoma (IDC) is exceptionally rare, presenting unique challenges in diagnosis and management.

Case report

We report a patient with primary SCC complicated with IDC of the breast. This patient underwent operation, adjuvant chemotherapy and endocrine therapy according to the Breast Cancer Guidelines.

Conclusion

Primary SCC of the breast is recognized for its highly aggressive nature and resistance to treatment, often associated with a poor prognosis. Currently, there are no specific guidelines dedicated to the management of primary SCC of the breast. When primary SCC coexists with IDC of the breast, the prognosis becomes even more uncertain due to the complex interplay between these two distinct pathological entities. In this case, we have adopted a treatment strategy targeting the IDC component, following established guidelines for breast cancer management. We anticipate that this approach will contribute to a favorable prognosis for the patient.
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原发性鳞状细胞癌合并浸润性乳腺导管癌
背景:乳腺原发性鳞状细胞癌(SCC)是一种罕见的化生癌亚型,估计发生在0.1%的乳腺癌病例中。在临床实践中,原发性鳞状细胞癌与浸润性导管癌(Invasive Ductal Carcinoma, IDC)共存的情况非常罕见,这给诊断和治疗带来了独特的挑战。病例报告我们报告了一例原发性鳞状细胞癌合并乳腺IDC的病例。根据乳腺癌指南,患者接受了手术、辅助化疗和内分泌治疗。结论原发性乳腺鳞状细胞癌具有很强的侵袭性和耐治疗性,预后较差。目前,尚无专门针对乳腺原发性鳞状细胞癌治疗的具体指南。当原发性鳞状细胞癌与乳腺IDC共存时,由于这两种不同病理实体之间复杂的相互作用,预后变得更加不确定。在这种情况下,我们采用了针对IDC组件的治疗策略,遵循既定的乳腺癌管理指南。我们预计这种方法将有助于患者的良好预后。
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审稿时长
96 days
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