Occult primary breast cancer and cognates: Atypical today's cases inside a centenarian history

Occult breast cancer (OBC) is a rare entity and, to date, still represents a diagnostic and therapeutic challenge. OBC is often diagnosed as metastatic dissemination without a recognized primary; this delay in diagnosis and the known increased tumor aggressiveness can condition treatment choices and...

Full description

Bibliographic Details
Main Authors: Liliana Montella, Vittorio Riccio, Raffaella Ruocco, Luigi Di Marino, Annamaria Ambrosino, Antonio Capuozzo, Carminia-Maria Della Corte, Arianna Esposito, Paola Coppola, Carmela Liguori, Gaetano Facchini, Andrea Ronchi, Angela Ruggiero
Format: Article
Language:English
Published: Elsevier 2022-12-01
Series:Current Problems in Cancer: Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666621922000552
_version_ 1811178648035655680
author Liliana Montella
Vittorio Riccio
Raffaella Ruocco
Luigi Di Marino
Annamaria Ambrosino
Antonio Capuozzo
Carminia-Maria Della Corte
Arianna Esposito
Paola Coppola
Carmela Liguori
Gaetano Facchini
Andrea Ronchi
Angela Ruggiero
author_facet Liliana Montella
Vittorio Riccio
Raffaella Ruocco
Luigi Di Marino
Annamaria Ambrosino
Antonio Capuozzo
Carminia-Maria Della Corte
Arianna Esposito
Paola Coppola
Carmela Liguori
Gaetano Facchini
Andrea Ronchi
Angela Ruggiero
author_sort Liliana Montella
collection DOAJ
description Occult breast cancer (OBC) is a rare entity and, to date, still represents a diagnostic and therapeutic challenge. OBC is often diagnosed as metastatic dissemination without a recognized primary; this delay in diagnosis and the known increased tumor aggressiveness can condition treatment choices and patients’ outcomes. In this report, we describe three atypical presentations of breast cancer. The first corresponds to an OBC with axillary lymphadenopathy which is the most frequent finding in the literature. Another one describes diffuse bone metastases from breast tumors diagnosed through bone biopsy without any primitive breast lesion with all applied radiological imaging. The third one is instead an overt breast cancer with a pathological profile of a low aggressive tumor showing bulky lung involvement. The first OBC description dated back to Halstead's description in 1907 and represents a little-explored niche which however should be nowadays studied to define biological determinants probably influencing a different presentation and behavior
first_indexed 2024-04-11T06:23:12Z
format Article
id doaj.art-9e664e5898ee4b708b7af87c5df70bf8
institution Directory Open Access Journal
issn 2666-6219
language English
last_indexed 2024-04-11T06:23:12Z
publishDate 2022-12-01
publisher Elsevier
record_format Article
series Current Problems in Cancer: Case Reports
spelling doaj.art-9e664e5898ee4b708b7af87c5df70bf82022-12-22T04:40:31ZengElsevierCurrent Problems in Cancer: Case Reports2666-62192022-12-018100191Occult primary breast cancer and cognates: Atypical today's cases inside a centenarian historyLiliana Montella0Vittorio Riccio1Raffaella Ruocco2Luigi Di Marino3Annamaria Ambrosino4Antonio Capuozzo5Carminia-Maria Della Corte6Arianna Esposito7Paola Coppola8Carmela Liguori9Gaetano Facchini10Andrea Ronchi11Angela Ruggiero12Oncology Operative Unit, “Santa Maria delle Grazie” Hospital, Ospedale, ASL NA2 NORD, Pozzuoli, Naples 80078, Italy; Corresponding author.Department of Clinical Medicine and Surgery, Università degli Studi di Napoli ''Federico II'', Naples 80131, ItalyMedical Oncology, AORN Cardarelli, Naples 80131, ItalyVilla Dei Fiori, Acerra, Naples 80011, ItalyInternal Medicine Operative Unit, “Santa Maria delle Grazie” Hospital, ASL NA2 NORD, Pozzuoli, Naples 80078, ItalyPneumology Operative Unit, “Mauro Scarlato” Scafati Hospital, ASL Salerno, Scafati 84018, ItalyDepartment of Precision Medicine, Division of Medical Oncology, “Luigi Vanvitelli” University of Campania, Naples 80131, ItalyOncology Operative Unit, “Santa Maria delle Grazie” Hospital, Ospedale, ASL NA2 NORD, Pozzuoli, Naples 80078, ItalyOncology Operative Unit, “Santa Maria delle Grazie” Hospital, Ospedale, ASL NA2 NORD, Pozzuoli, Naples 80078, ItalyOncology Operative Unit, “Santa Maria delle Grazie” Hospital, Ospedale, ASL NA2 NORD, Pozzuoli, Naples 80078, ItalyOncology Operative Unit, “Santa Maria delle Grazie” Hospital, Ospedale, ASL NA2 NORD, Pozzuoli, Naples 80078, ItalyDepartment of Mental and Physical Health and Preventive Medicine, Pathology Unit, University of Campania ''Luigi Vanvitelli'', Naples, ItalyOncology Operative Unit, “Santa Maria delle Grazie” Hospital, Ospedale, ASL NA2 NORD, Pozzuoli, Naples 80078, ItalyOccult breast cancer (OBC) is a rare entity and, to date, still represents a diagnostic and therapeutic challenge. OBC is often diagnosed as metastatic dissemination without a recognized primary; this delay in diagnosis and the known increased tumor aggressiveness can condition treatment choices and patients’ outcomes. In this report, we describe three atypical presentations of breast cancer. The first corresponds to an OBC with axillary lymphadenopathy which is the most frequent finding in the literature. Another one describes diffuse bone metastases from breast tumors diagnosed through bone biopsy without any primitive breast lesion with all applied radiological imaging. The third one is instead an overt breast cancer with a pathological profile of a low aggressive tumor showing bulky lung involvement. The first OBC description dated back to Halstead's description in 1907 and represents a little-explored niche which however should be nowadays studied to define biological determinants probably influencing a different presentation and behaviorhttp://www.sciencedirect.com/science/article/pii/S2666621922000552Occult breast cancerCancer of unknown primaryBone metastasesLymphnode metastases
spellingShingle Liliana Montella
Vittorio Riccio
Raffaella Ruocco
Luigi Di Marino
Annamaria Ambrosino
Antonio Capuozzo
Carminia-Maria Della Corte
Arianna Esposito
Paola Coppola
Carmela Liguori
Gaetano Facchini
Andrea Ronchi
Angela Ruggiero
Occult primary breast cancer and cognates: Atypical today's cases inside a centenarian history
Current Problems in Cancer: Case Reports
Occult breast cancer
Cancer of unknown primary
Bone metastases
Lymphnode metastases
title Occult primary breast cancer and cognates: Atypical today's cases inside a centenarian history
title_full Occult primary breast cancer and cognates: Atypical today's cases inside a centenarian history
title_fullStr Occult primary breast cancer and cognates: Atypical today's cases inside a centenarian history
title_full_unstemmed Occult primary breast cancer and cognates: Atypical today's cases inside a centenarian history
title_short Occult primary breast cancer and cognates: Atypical today's cases inside a centenarian history
title_sort occult primary breast cancer and cognates atypical today s cases inside a centenarian history
topic Occult breast cancer
Cancer of unknown primary
Bone metastases
Lymphnode metastases
url http://www.sciencedirect.com/science/article/pii/S2666621922000552
work_keys_str_mv AT lilianamontella occultprimarybreastcancerandcognatesatypicaltodayscasesinsideacentenarianhistory
AT vittorioriccio occultprimarybreastcancerandcognatesatypicaltodayscasesinsideacentenarianhistory
AT raffaellaruocco occultprimarybreastcancerandcognatesatypicaltodayscasesinsideacentenarianhistory
AT luigidimarino occultprimarybreastcancerandcognatesatypicaltodayscasesinsideacentenarianhistory
AT annamariaambrosino occultprimarybreastcancerandcognatesatypicaltodayscasesinsideacentenarianhistory
AT antoniocapuozzo occultprimarybreastcancerandcognatesatypicaltodayscasesinsideacentenarianhistory
AT carminiamariadellacorte occultprimarybreastcancerandcognatesatypicaltodayscasesinsideacentenarianhistory
AT ariannaesposito occultprimarybreastcancerandcognatesatypicaltodayscasesinsideacentenarianhistory
AT paolacoppola occultprimarybreastcancerandcognatesatypicaltodayscasesinsideacentenarianhistory
AT carmelaliguori occultprimarybreastcancerandcognatesatypicaltodayscasesinsideacentenarianhistory
AT gaetanofacchini occultprimarybreastcancerandcognatesatypicaltodayscasesinsideacentenarianhistory
AT andrearonchi occultprimarybreastcancerandcognatesatypicaltodayscasesinsideacentenarianhistory
AT angelaruggiero occultprimarybreastcancerandcognatesatypicaltodayscasesinsideacentenarianhistory