1.Diagnostic Dilemma in Metaplastic Chondroid Breast Carcinoma
Farina MY ; Shahrun Niza AS ; Saladina JJ ; Nani Harlina ML ; Zaireen MN ; Rohaizak M
The International Medical Journal Malaysia 2014;13(1):65-68
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.
2.Pigmented ‘black’ adenoma: a rare cause of conn’s syndrome
Saladina JJ ; Rohaizak M ; Jasmi AY ; Sellymiah A ; Aishah MAS ; Das S ; Naqiyah I ; Shahrun NS
Journal of University of Malaya Medical Centre 2011;14(1):23-25
Presence of a hypofunctioning pigmented adenoma are commonly asymptomatic and is usually only found during an autopsy. In contrast, hyperfunctioning pigmented adenoma is a rare clinical entity and in the majority of cases results in Cushing‟s syndrome. In this case study, we report a 66-year-old male who presented instead with the clinical and biochemical features of Conn‟s syndrome. On laparoscopic adrenalectomy, it was found that the tumour had a functioning black adenoma which does not usually present with Conn‟s syndrome but rather to that of a Cushing‟s. The intraoperative changes and histopathological findings are discussed.
Laparoscopy