Targeted therapy combined with immunotherapy in patients with breast infiltrating ductal carcinoma with axillary lymph node metastasis of metaplastic SCC

Abstract At present, the clinicopathological features, optimal treatment patterns, and prognosis of breast metaplastic squamous cell carcinoma (SCC) are not fully understood and are still controversial. Here, we report a 56‐year‐old female patient with breast infiltrating ductal carcinoma with axill...

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Main Authors: Rilan Bai, Lin Jia, Yangyang Gao, Xu Sun, Naifei Chen, Zheng Lv, Jiuwei Cui
Format: Article
Language:English
Published: Wiley 2022-10-01
Series:Thoracic Cancer
Subjects:
Online Access:https://doi.org/10.1111/1759-7714.14602
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author Rilan Bai
Lin Jia
Yangyang Gao
Xu Sun
Naifei Chen
Zheng Lv
Jiuwei Cui
author_facet Rilan Bai
Lin Jia
Yangyang Gao
Xu Sun
Naifei Chen
Zheng Lv
Jiuwei Cui
author_sort Rilan Bai
collection DOAJ
description Abstract At present, the clinicopathological features, optimal treatment patterns, and prognosis of breast metaplastic squamous cell carcinoma (SCC) are not fully understood and are still controversial. Here, we report a 56‐year‐old female patient with breast infiltrating ductal carcinoma with axillary lymph node metastasis of metaplastic SCC admitted to our hospital. Their homology was clarified by comparing the gene mutation results of the two lesions, that is, the axillary lymph node lesion was a metastasis of breast metaplastic SCC. We treated the patient with Poly ADP‐ribose Polymerase (PARP) inhibitors in combination with immune checkpoint inhibitors (ICIs) and found that she could achieve clinical benefit from the combination regimen. We reported a successful diagnosis and treatment of this rare refractory disease and reviewed the literature on the characteristics, pathogenesis, and advances in the diagnosis and treatment of breast metaplastic SCC.
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spelling doaj.art-0af5bedc40fd415b9cd66a76bf7ab3d52022-12-22T03:49:44ZengWileyThoracic Cancer1759-77061759-77142022-10-0113192799280710.1111/1759-7714.14602Targeted therapy combined with immunotherapy in patients with breast infiltrating ductal carcinoma with axillary lymph node metastasis of metaplastic SCCRilan Bai0Lin Jia1Yangyang Gao2Xu Sun3Naifei Chen4Zheng Lv5Jiuwei Cui6Cancer Center The First Hospital of Jilin University Changchun ChinaCancer Center The First Hospital of Jilin University Changchun ChinaCancer Center The First Hospital of Jilin University Changchun ChinaCancer Center The First Hospital of Jilin University Changchun ChinaCancer Center The First Hospital of Jilin University Changchun ChinaCancer Center The First Hospital of Jilin University Changchun ChinaCancer Center The First Hospital of Jilin University Changchun ChinaAbstract At present, the clinicopathological features, optimal treatment patterns, and prognosis of breast metaplastic squamous cell carcinoma (SCC) are not fully understood and are still controversial. Here, we report a 56‐year‐old female patient with breast infiltrating ductal carcinoma with axillary lymph node metastasis of metaplastic SCC admitted to our hospital. Their homology was clarified by comparing the gene mutation results of the two lesions, that is, the axillary lymph node lesion was a metastasis of breast metaplastic SCC. We treated the patient with Poly ADP‐ribose Polymerase (PARP) inhibitors in combination with immune checkpoint inhibitors (ICIs) and found that she could achieve clinical benefit from the combination regimen. We reported a successful diagnosis and treatment of this rare refractory disease and reviewed the literature on the characteristics, pathogenesis, and advances in the diagnosis and treatment of breast metaplastic SCC.https://doi.org/10.1111/1759-7714.14602breast cancerdiagnosismetaplastic SCCprecision medicinetreatment
spellingShingle Rilan Bai
Lin Jia
Yangyang Gao
Xu Sun
Naifei Chen
Zheng Lv
Jiuwei Cui
Targeted therapy combined with immunotherapy in patients with breast infiltrating ductal carcinoma with axillary lymph node metastasis of metaplastic SCC
Thoracic Cancer
breast cancer
diagnosis
metaplastic SCC
precision medicine
treatment
title Targeted therapy combined with immunotherapy in patients with breast infiltrating ductal carcinoma with axillary lymph node metastasis of metaplastic SCC
title_full Targeted therapy combined with immunotherapy in patients with breast infiltrating ductal carcinoma with axillary lymph node metastasis of metaplastic SCC
title_fullStr Targeted therapy combined with immunotherapy in patients with breast infiltrating ductal carcinoma with axillary lymph node metastasis of metaplastic SCC
title_full_unstemmed Targeted therapy combined with immunotherapy in patients with breast infiltrating ductal carcinoma with axillary lymph node metastasis of metaplastic SCC
title_short Targeted therapy combined with immunotherapy in patients with breast infiltrating ductal carcinoma with axillary lymph node metastasis of metaplastic SCC
title_sort targeted therapy combined with immunotherapy in patients with breast infiltrating ductal carcinoma with axillary lymph node metastasis of metaplastic scc
topic breast cancer
diagnosis
metaplastic SCC
precision medicine
treatment
url https://doi.org/10.1111/1759-7714.14602
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