Breast cancer and neurofibromatosis type 1: a diagnostic challenge in patients with a high number of neurofibromas

被引:20
作者
Da Silva, Andre Vallejo [1 ,3 ]
Rodrigues, Fabiana Resende [2 ,3 ]
Pureza, Monica [2 ]
Silami Lopes, Vania Gloria [2 ,3 ]
Cunha, Karin Soares [3 ]
机构
[1] Univ Fed Fluminense, Hosp Univ Antonio Pedro, Breast Surg Serv, Rio De Janeiro, Brazil
[2] Univ Fed Fluminense, Hosp Univ Antonio Pedro, Pathol Serv, Rio De Janeiro, Brazil
[3] Univ Fed Fluminense, Sch Med, Postgrad Program Pathol, Rio De Janeiro, Brazil
关键词
Neurofibromatosis; 1; Genetic diseases; Breast cancer; Neurofibroma; Secondary prevention; VON-RECKLINGHAUSENS-DISEASE; INCREASED RISK; NF1; ISOFORM; WOMEN;
D O I
10.1186/s12885-015-1215-z
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Background: Neurofibromatosis 1 is one of the most common genetic diseases in humans, presenting with multiple neurofibromas and an increased risk of various benign and malignant tumors, including breast cancer. Case presentation: In this paper we report a case of a woman with neurofibromatosis 1 and the challenge associated with detecting an advanced breast cancer because of numerous skin neurofibromas, which were responsible for a substantial delay in cancer diagnosis. Literature concerning the association of neurofibromatosis 1 and breast cancer is reviewed and discussed. Conclusions: Best practice guidelines for breast cancer detection are not sufficient for the screening of neurofibromatosis 1 carriers. A more intensive clinical and imaging approach should be used if the same early detection rate as in non-neurofibromatosis 1 women is to be achieved.
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页数:4
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