[Breast myoepithelioma. Diagnostic and therapeutic difficulties. A case report].
Breast myoepithelioma is rare. The case of a 61-year-old female is reported here. The tumor was clinically, radiologically and macroscopically demarcated. Diagnosis was based on histological and immunohistochemical studies. At the time of diagnosis the tumor consisted of myoepithelial cells with few cellular atypias and a low mitotic activity. Tumor cells expressed vimentin, actin, S100 protein and cytokeratin. No local or distant metastases were found. The patient had been treated initially with a large excision of tumor. Local recurrences detected one year after initial surgery and showed a similar morphology and immunoreactivity with higher mitotic activity. Mastectomy with axillary dissection was performed. Neither recurrences nor distant metastases detected two years later. Myoepithelial tumors which are generally considered as benign or low-grade lesions can give rise to a wide range of clinical evolution.
Kdous
M
M
Service de chirurgie carcinologique, institut Salah-Azaiez de Tunis, boulevard du 9-Avril, 1006 Tunis, Tunisie. kdousm@excite.com
Hachicha
R
R
Gamoudi
A
A
Rahal
K
K
D000199:Actins / Q000032:analysis; D001943:Breast Neoplasms / Q000737:chemistry / Q000175:diagnosis* / Q000601:surgery; D005260:Female; D006801:Humans; D007150:Immunohistochemistry; D007633:Keratins / Q000032:analysis; D008197:Lymph Node Excision; D008408:Mastectomy; D008875:Middle Aged; D009208:Myoepithelioma / Q000737:chemistry / Q000175:diagnosis* / Q000601:surgery; D009364:Neoplasm Recurrence, Local; D009418:S100 Proteins / Q000032:analysis; D014746:Vimentin / Q000032:analysis
D000199:Actins; D009418:S100 Proteins; D014746:Vimentin; D007633:Keratins