title: Breast Carcinoma in Childhood and Adolescence: Case Report and Review of the Literature.
abstract: Secretory breast carcinoma is a rare tumor originally described in children and adolescent women with a characteristic morphology and a controversial choice of treatment. We report an additional case of a 4-year-old girl with a breast tumor diagnosed as a secretory carcinoma without involvement of the axillary lymph nodes. The therapy consisted of simple mastectomy and low axillary dissection. She presented with a local recurrence near the surgical scar 8 months later, and a wide elliptical excision of the scar and underlying tissue was performed with subsequent radiotherapy of the surgical bed. This tumor has a relatively benign behavior and rarely metastasizes. A literature review revealed only 22 cases of breast carcinoma in childhood and adolescence.
authors.affiliation: Gynaecology, Hospital J. M. Ramos Mejia, Buenos Aires, Argentina; Oncology, Hospital J. M. Ramos Mejia, Buenos Aires, Argentina; Pathology Departments, Hospital J. M. Ramos Mejia, Buenos Aires, Argentina.
authors.forename: Osvaldo Anibal
authors.initials: OA
authors.lastname: Longo
authors.forename: Adolfo
authors.initials: A
authors.lastname: Mosto
authors.forename: Juan Carlos Hernandez
authors.initials: JC
authors.lastname: Moran
authors.forename: Julian
authors.initials: J
authors.lastname: Mosto
authors.forename: Luis Eduardo
authors.initials: LE
authors.lastname: Rives
authors.forename: Fabio
authors.initials: F
authors.lastname: Sobral