Metaplastic Carcinoma Breast in Polycythemic Octogenarian – Lessons Learnt: Case Report

An 80-year-old lady presented with lump Left breast of 8 months duration. Clinically was aT4b lesion, sonomammogram showed BIRADS V lesion and core needle breast biopsy features were suggestive of metaplastic carcinoma breast of adenosquamous type, ER, PR-Positive, Her2Neu-Negative. Patient receive...

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Main Authors: Swarup Prabhu, Munish Malhotra, Naresh Saidha, Ritu Mehta, Surjeet Dwivedi, Tarun Mohan Gupta
Format: Article
Language:English
Published: Vilnius University Press 2024-09-01
Series:Lietuvos Chirurgija
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Online Access:https://www.journals.vu.lt/lietuvos-chirurgija/article/view/35727
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author Swarup Prabhu
Munish Malhotra
Naresh Saidha
Ritu Mehta
Surjeet Dwivedi
Tarun Mohan Gupta
author_facet Swarup Prabhu
Munish Malhotra
Naresh Saidha
Ritu Mehta
Surjeet Dwivedi
Tarun Mohan Gupta
author_sort Swarup Prabhu
collection DOAJ
description An 80-year-old lady presented with lump Left breast of 8 months duration. Clinically was aT4b lesion, sonomammogram showed BIRADS V lesion and core needle breast biopsy features were suggestive of metaplastic carcinoma breast of adenosquamous type, ER, PR-Positive, Her2Neu-Negative. Patient received preoperative hormonal therapy followed by modified radical mastectomy and postoperative adjuvant chemotherapy and hormonal therapy. Post operative patient showed good clinical recovery and was recurrence free at 6 months follow up although patient had all the poor prognostic factors with large size, LN involvement and high Ki 67. This article is a rare example of metaplastic breast carcinoma presenting in geriatric age group and showing good recovery despite presence of all poor prognostic factors. Hence this report is to enlighten the medical caregivers about the existence of this rare entity and challenges involved in management of this entity.
format Article
id doaj-art-f81eeb0c39e148cf9c003c1f897f1f49
institution Kabale University
issn 1392-0995
1648-9942
language English
publishDate 2024-09-01
publisher Vilnius University Press
record_format Article
series Lietuvos Chirurgija
spelling doaj-art-f81eeb0c39e148cf9c003c1f897f1f492025-01-20T18:14:19ZengVilnius University PressLietuvos Chirurgija1392-09951648-99422024-09-0123310.15388/LietChirur.2024.23(3).7Metaplastic Carcinoma Breast in Polycythemic Octogenarian – Lessons Learnt: Case ReportSwarup Prabhu0Munish Malhotra1Naresh Saidha2Ritu Mehta3Surjeet Dwivedi4Tarun Mohan Gupta55 Airforce Hospital, IndiaCommand Hospital Air Force Bangalore, IndiaCommand Hospital Air Force Bangalore, IndiaCommand Hospital Air Force Bangalore, IndiaCommand Hospital Air Force Bangalore, IndiaCommand Hospital Air Force Bangalore, India An 80-year-old lady presented with lump Left breast of 8 months duration. Clinically was aT4b lesion, sonomammogram showed BIRADS V lesion and core needle breast biopsy features were suggestive of metaplastic carcinoma breast of adenosquamous type, ER, PR-Positive, Her2Neu-Negative. Patient received preoperative hormonal therapy followed by modified radical mastectomy and postoperative adjuvant chemotherapy and hormonal therapy. Post operative patient showed good clinical recovery and was recurrence free at 6 months follow up although patient had all the poor prognostic factors with large size, LN involvement and high Ki 67. This article is a rare example of metaplastic breast carcinoma presenting in geriatric age group and showing good recovery despite presence of all poor prognostic factors. Hence this report is to enlighten the medical caregivers about the existence of this rare entity and challenges involved in management of this entity. https://www.journals.vu.lt/lietuvos-chirurgija/article/view/35727metaplastic carcinoma breastgeriatric populationpolycythemiapoor prognosis
spellingShingle Swarup Prabhu
Munish Malhotra
Naresh Saidha
Ritu Mehta
Surjeet Dwivedi
Tarun Mohan Gupta
Metaplastic Carcinoma Breast in Polycythemic Octogenarian – Lessons Learnt: Case Report
Lietuvos Chirurgija
metaplastic carcinoma breast
geriatric population
polycythemia
poor prognosis
title Metaplastic Carcinoma Breast in Polycythemic Octogenarian – Lessons Learnt: Case Report
title_full Metaplastic Carcinoma Breast in Polycythemic Octogenarian – Lessons Learnt: Case Report
title_fullStr Metaplastic Carcinoma Breast in Polycythemic Octogenarian – Lessons Learnt: Case Report
title_full_unstemmed Metaplastic Carcinoma Breast in Polycythemic Octogenarian – Lessons Learnt: Case Report
title_short Metaplastic Carcinoma Breast in Polycythemic Octogenarian – Lessons Learnt: Case Report
title_sort metaplastic carcinoma breast in polycythemic octogenarian lessons learnt case report
topic metaplastic carcinoma breast
geriatric population
polycythemia
poor prognosis
url https://www.journals.vu.lt/lietuvos-chirurgija/article/view/35727
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AT munishmalhotra metaplasticcarcinomabreastinpolycythemicoctogenarianlessonslearntcasereport
AT nareshsaidha metaplasticcarcinomabreastinpolycythemicoctogenarianlessonslearntcasereport
AT ritumehta metaplasticcarcinomabreastinpolycythemicoctogenarianlessonslearntcasereport
AT surjeetdwivedi metaplasticcarcinomabreastinpolycythemicoctogenarianlessonslearntcasereport
AT tarunmohangupta metaplasticcarcinomabreastinpolycythemicoctogenarianlessonslearntcasereport