A case of high-grade adenosquamous carcinoma of the breast: case report and literature review

被引:0
作者
Xing, Xiaoxiao [1 ]
Li, Junyi [1 ]
Fan, Yangyang [2 ]
Wang, Yun [3 ]
Wang, Yue [1 ]
Liao, Daixiang [1 ]
Zhang, Shiyun [1 ]
机构
[1] China Acad Chinese Med Sci, Guanganmen Hosp, Dept Surg, Beijing, Peoples R China
[2] China Acad Chinese Med Sci, Guanganmen Hosp, Dept Radiol, Beijing, Peoples R China
[3] China Acad Chinese Med Sci, Guanganmen Hosp, Dept Pathol, Beijing, Peoples R China
关键词
high-grade adenosquamous carcinoma; metaplastic breast cancer; case report; breast cancer surgery; adjuvant chemotherapy; METAPLASTIC CARCINOMA; PROGNOSIS; CANCER; TUMORS;
D O I
10.3389/fonc.2025.1548036
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
High-grade adenosquamous carcinoma (HGASC) is a rare and aggressive subtype of metaplastic breast cancer (MpBC). This article reports a case of HGASC (pT2N0M0 Stage IIA) in a 43-year-old female and reviews the relevant literature, with a specific focus on distinguishing HGASC from other MpBC subtypes, particularly low-grade adenosquamous carcinoma (LGASC). The patient underwent a skin-sparing mastectomy with abdominal rectus myocutaneous flap reconstruction. Histopathology confirmed HGASC with metaplastic features. Postoperative adjuvant chemotherapy with capecitabine was administered. The case highlights the unique clinical, imaging, and pathological characteristics of HGASC, its therapeutic challenges, and the need for individualized treatment strategies. A five-month follow-up showed no signs of recurrence or metastasis.
引用
收藏
页数:6
相关论文
共 20 条
[1]   Lactating breast abscess: a rare presentation of adenosquamous breast carcinoma [J].
Alipour, Sadaf ;
Seifollahi, Akram ;
Anbiaee, Robab .
SINGAPORE MEDICAL JOURNAL, 2013, 54 (12) :E247-E249
[2]   Metaplastic breast cancer: Prognostic and therapeutic considerations [J].
Corso, Giovanni ;
Frassoni, Samuele ;
Girardi, Antonia ;
De Camilli, Elisa ;
Montagna, Emilia ;
Intra, Mattia ;
Bottiglieri, Luca ;
De Scalzi, Alessandra Margherita ;
Fanianos, Denise Mattar ;
Magnoni, Francesca ;
Invento, Alessandra ;
Toesca, Antonio ;
Conforti, Fabio ;
Bagnardi, Vincenzo ;
Viale, Giuseppe ;
Colleoni, Marco Angelo ;
Veronesi, Paolo .
JOURNAL OF SURGICAL ONCOLOGY, 2021, 123 (01) :61-70
[3]   Metaplastic breast cancer and BRCA1: first strong evidence of a link [J].
Evans, D. Gareth R. ;
Howell, Anthony ;
Sacha, J. Howell .
EUROPEAN JOURNAL OF HUMAN GENETICS, 2023, 31 (11) :1207-1208
[4]   Morphological MR features and quantitative ADC evaluation in invasive breast cancer: Correlation with prognostic factors [J].
Francesca, Boria ;
Corrado, Tagliati ;
Silvia, Baldassarre ;
Paola, Ercolani ;
Elisabetta, Marconi ;
Franca, Simonetti Barbara ;
Alfredo, Santinelli ;
Marco, Giuseppetti Gian .
CLINICAL IMAGING, 2018, 50 :141-146
[5]   Metaplastic spindle cell breast tumors arising within papillomas, complex sclerosing lesions, and nipple adenomas [J].
Gobbi, H ;
Simpson, JF ;
Jensen, RA ;
Olson, SJ ;
Page, DL .
MODERN PATHOLOGY, 2003, 16 (09) :893-901
[6]  
Hu J, 2021, AM J TRANSL RES, V13, P11689
[7]   Current Progress in the Treatment of Metaplastic Breast Carcinoma [J].
Hu, Qing ;
Chen, Wei-Xian ;
Zhong, Shan-Liang ;
Li, Jian ;
Luo, Zhou ;
Tang, Jin-Hai ;
Zhao, Jian-Hua .
ASIAN PACIFIC JOURNAL OF CANCER PREVENTION, 2013, 14 (11) :6221-6225
[8]   A Retrospective Study of the Imaging and Pathological Features of Metaplastic Breast Carcinoma and Review of the Literature [J].
Jia, Yu ;
He, Cuiju ;
Liu, Linan ;
Sun, Lili ;
Chen, Yanwei ;
Luo, Yahong ;
Yu, Tao .
MEDICAL SCIENCE MONITOR, 2019, 25 :248-258
[9]   Radiation therapy in management of sporadic and neurofibromatosis type 1-associated malignant peripheral nerve sheath tumors [J].
Kahn, Jenna ;
Gillespie, Andy ;
Tsokos, Maria ;
Ondos, John ;
Dombi, Eva ;
Camphausen, Kevin ;
Widemann, Brigitte C. ;
Kaushal, Aradhana .
FRONTIERS IN ONCOLOGY, 2014, 4
[10]   Hormone receptor expression in low-grade adenosquamous carcinoma of the breast progressing to high-grade metaplastic carcinoma: A case report [J].
Leng, Lei ;
Hua, Xin ;
Liu, Wei ;
Jian, Wu .
MEDICINE, 2024, 103 (30) :e39131