Diagnostic Dilemma in Metaplastic Chondroid Breast Carcinoma
- Author:
Farina MY
;
Shahrun Niza AS
;
Saladina JJ
;
Nani Harlina ML
;
Zaireen MN
;
Rohaizak M
- Publication Type:Original Article
- Keywords:
Metaplastic, breast cancer, chondroid, cartilage
- From:
The International Medical Journal Malaysia
2014;13(1):65-68
- CountryMalaysia
- Language:English
-
Abstract:
Metaplastic breast cancer is a rare form of primary breast cancer. It contains a mixture of adenocarcinoma
with metaplastic elements. It is important to differentiate with primary sarcoma of the breast which carries
different treatment strategies and prognosis. A 55-year-old lady previously diagnosed to have a left breast
cancer in the year 2000 and carcinoma of the endometrium in 2009, presented with a right breast lump. A trucut
biopsy reported as an infiltrating ductal carcinoma with background of chondromyxoid and cartilagenous matrix,
most probably metaplastic carcinoma. A wide local excision with sentinel lymph node biopsy was performed,
and the final histology was consistent with metaplastic chondroid carcinoma of the breast with no evidence
of metastsis. The surgery was followed by adjuvant radiotherapy and currently free from any recurrence. The
diagnostic dilemma on this very rare condition is reviewed.
