Metaplastic breast carcinoma with osteogenic component

Metaplastic breast carcinomas (MBC) are rare primary breast malignancies characterized by the co-existence of carcinoma with non-epithelial cellular elements. They can be classified as monophasic spindle cell (sarcomatoid) carcinoma, biphasic carcinosarcoma, adenocarcinoma with divergent stromal dif...

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Main Authors: Maha SA Abdel Hadi, Maha Al-Madi, Thamer Wahba, Khalid Ghallab, Ali M Al-Amri
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2014-01-01
Series:Saudi Journal of Medicine and Medical Sciences
Subjects:
Online Access:http://www.sjmms.net/article.asp?issn=1658-631X;year=2014;volume=2;issue=2;spage=113;epage=116;aulast=Abdel
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author Maha SA Abdel Hadi
Maha Al-Madi
Thamer Wahba
Khalid Ghallab
Ali M Al-Amri
author_facet Maha SA Abdel Hadi
Maha Al-Madi
Thamer Wahba
Khalid Ghallab
Ali M Al-Amri
author_sort Maha SA Abdel Hadi
collection DOAJ
description Metaplastic breast carcinomas (MBC) are rare primary breast malignancies characterized by the co-existence of carcinoma with non-epithelial cellular elements. They can be classified as monophasic spindle cell (sarcomatoid) carcinoma, biphasic carcinosarcoma, adenocarcinoma with divergent stromal differentiation (osseous, chondroid and rarely rhabdoid) as well as adenosquamous and pure squamous cell carcinomas. Nearly all reports portrait women in their forties or older, yet younger affected females in their twenties have been reported. The usual presentation included firm painless breast mass ranging between 1.4 and 14 cm in diameter, with no evidence of loco-regional or distal metastasis. Mammary osteosarcomas are aggressive tumors with a propensity for blood-borne rather than lymphatic spread. Metastatic disease expected to develop at a mean of 10.5 and 14.5 months from the initial diagnosis and demise followed within 20 months of the onset of metastasis. MBC remains a rare entity with poor response to both chemo-radiotherapy, histological diagnosis is challenging yet it is the main stay in outlining the management. The surgical option remains the only successful current treatment in the form of simple Mastectomy to achieve negative margins sparing the patients axillary node dissection.
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spelling doaj.art-cf3ad86a930c455c9af33a534d4169532022-12-22T02:20:15ZengWolters Kluwer Medknow PublicationsSaudi Journal of Medicine and Medical Sciences1658-631X2014-01-012211311610.4103/1658-631X.137008Metaplastic breast carcinoma with osteogenic componentMaha SA Abdel HadiMaha Al-MadiThamer WahbaKhalid GhallabAli M Al-AmriMetaplastic breast carcinomas (MBC) are rare primary breast malignancies characterized by the co-existence of carcinoma with non-epithelial cellular elements. They can be classified as monophasic spindle cell (sarcomatoid) carcinoma, biphasic carcinosarcoma, adenocarcinoma with divergent stromal differentiation (osseous, chondroid and rarely rhabdoid) as well as adenosquamous and pure squamous cell carcinomas. Nearly all reports portrait women in their forties or older, yet younger affected females in their twenties have been reported. The usual presentation included firm painless breast mass ranging between 1.4 and 14 cm in diameter, with no evidence of loco-regional or distal metastasis. Mammary osteosarcomas are aggressive tumors with a propensity for blood-borne rather than lymphatic spread. Metastatic disease expected to develop at a mean of 10.5 and 14.5 months from the initial diagnosis and demise followed within 20 months of the onset of metastasis. MBC remains a rare entity with poor response to both chemo-radiotherapy, histological diagnosis is challenging yet it is the main stay in outlining the management. The surgical option remains the only successful current treatment in the form of simple Mastectomy to achieve negative margins sparing the patients axillary node dissection.http://www.sjmms.net/article.asp?issn=1658-631X;year=2014;volume=2;issue=2;spage=113;epage=116;aulast=AbdelBreastosteogenicsarcomacarcinoma
spellingShingle Maha SA Abdel Hadi
Maha Al-Madi
Thamer Wahba
Khalid Ghallab
Ali M Al-Amri
Metaplastic breast carcinoma with osteogenic component
Saudi Journal of Medicine and Medical Sciences
Breast
osteogenic
sarcoma
carcinoma
title Metaplastic breast carcinoma with osteogenic component
title_full Metaplastic breast carcinoma with osteogenic component
title_fullStr Metaplastic breast carcinoma with osteogenic component
title_full_unstemmed Metaplastic breast carcinoma with osteogenic component
title_short Metaplastic breast carcinoma with osteogenic component
title_sort metaplastic breast carcinoma with osteogenic component
topic Breast
osteogenic
sarcoma
carcinoma
url http://www.sjmms.net/article.asp?issn=1658-631X;year=2014;volume=2;issue=2;spage=113;epage=116;aulast=Abdel
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AT mahaalmadi metaplasticbreastcarcinomawithosteogeniccomponent
AT thamerwahba metaplasticbreastcarcinomawithosteogeniccomponent
AT khalidghallab metaplasticbreastcarcinomawithosteogeniccomponent
AT alimalamri metaplasticbreastcarcinomawithosteogeniccomponent