乳腺梅克尔细胞癌:病例报告

Catherine McNulty , Shabnam Mortazavi , Joseph Giessinger , Sepehr Hamidi
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引用次数: 0

摘要

乳腺梅克尔细胞癌(MCC)极为罕见,占所有乳腺癌的比例不到1%。一名 59 岁的女性患有严重的原发性进行性多发性硬化症(MS),服用醋酸格拉替雷(Copaxone)1 个月后出现进行性右侧乳房肿胀。超声检查发现一个巨大的不规则肿块,伴有真皮增厚;随后在超声引导下进行了活检,发现病理特征为 MCC。分期 PETCT 显示有广泛转移的迹象。MCC 与免疫功能低下和梅克尔细胞多瘤病毒再激活有关。有趣的是,多发性硬化症与爱泼斯坦巴氏病毒(Epstein Barr Virus)有关。病毒、免疫系统功能紊乱和免疫调节药物(如治疗多发性硬化症的药物)之间的关系需要进一步研究。
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Merkel cell carcinoma of the breast: A case report

Merkel Cell Carcinoma (MCC) of the breast is extremely rare, representing less than 1 % of all breast cancers. A 59-year-old woman with severe primary progressive multiple sclerosis (MS), on glatiramer acetate (Copaxone), presented with 1 month of progressive right breast swelling. Ultrasound revealed a large, irregular mass with associated dermal thickening; a subsequent ultrasound-guided biopsy was performed, revealing pathological features of MCC. A staging PETCT showed evidence of widely metastatic disease. MCC is associated with immunocompromised status and reactivation of Merkel Cell Polyomavirus. Interestingly, MS is associated with Epstein Barr Virus. The relationships between viruses, immune system dysfunction, and immune-modulating drugs - such as those to treat MS - require further research.

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CiteScore
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96 days
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