A case of secretory breast cancer in a 6 year-old girl: is it possible to make a correct preoperative diagnosis? View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2020-01-30

AUTHORS

Takumi Gohara, Makoto Komura, Aya Asano, Takaki Emura, Kazuko Obana, Toru Kikuchi, Hironobu Yonekawa, Hiroaki Komuro, Tetsuro Kodaka, Kan Terawaki, Toshiaki Saeki, Akihiko Osaki, Chih-Ping Li, Keisuke Ishizawa, Takahiro Hasebe, Hitoshi Tsuda, Atsushi Sasaki

ABSTRACT

Secretory breast carcinoma constitutes the majority of breast cancers in children and young people less than 20 years of age. Noninvasive examination is particularly necessary for the diagnosis of breast carcinoma in children. Herein, we report a case of secretory breast carcinoma in a 6-year-old girl with psychomotor retardation. She was referred to our outpatient clinic for evaluation of a palpable mass in her left breast. A hard mass, rather than the increase in size typical of premature thelarche, was palpated. An excision biopsy was performed. Pathological findings revealed an invasive secretory breast carcinoma. We performed a retrospective review of the preoperative findings of this case, and compared it to the pathological diagnosis. Elastography, which can be performed without deep sedation or general anesthesia and without causing pain, resulted in a stiffness score of 4; however, the distinction between benign and malignant tumors on elastography, which is important to decide the intra-operative procedures, was not sufficient according to the Japanese breast cancer society clinical guidelines. This is the first report of secretory breast carcinoma in a child with a stiffness score determined by tissue elasticity imaging. A breast mass in a child with a high stiffness score of more than 4 on elastography should be referred for invasive diagnostic procedures, such as fine needle aspiration or excisional biopsy. According to our experience, an accurate preoperative diagnosis could be possible for malignant breast tumors in children. Such parameters as stiffness score on elastography are practical, noninvasive, and objective diagnostic tools for the accurate preoperative diagnosis of breast tumors in children. More... »

PAGES

785-790

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s12282-020-01056-5

DOI

http://dx.doi.org/10.1007/s12282-020-01056-5

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1124455418

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/32002789


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19 schema:description Secretory breast carcinoma constitutes the majority of breast cancers in children and young people less than 20 years of age. Noninvasive examination is particularly necessary for the diagnosis of breast carcinoma in children. Herein, we report a case of secretory breast carcinoma in a 6-year-old girl with psychomotor retardation. She was referred to our outpatient clinic for evaluation of a palpable mass in her left breast. A hard mass, rather than the increase in size typical of premature thelarche, was palpated. An excision biopsy was performed. Pathological findings revealed an invasive secretory breast carcinoma. We performed a retrospective review of the preoperative findings of this case, and compared it to the pathological diagnosis. Elastography, which can be performed without deep sedation or general anesthesia and without causing pain, resulted in a stiffness score of 4; however, the distinction between benign and malignant tumors on elastography, which is important to decide the intra-operative procedures, was not sufficient according to the Japanese breast cancer society clinical guidelines. This is the first report of secretory breast carcinoma in a child with a stiffness score determined by tissue elasticity imaging. A breast mass in a child with a high stiffness score of more than 4 on elastography should be referred for invasive diagnostic procedures, such as fine needle aspiration or excisional biopsy. According to our experience, an accurate preoperative diagnosis could be possible for malignant breast tumors in children. Such parameters as stiffness score on elastography are practical, noninvasive, and objective diagnostic tools for the accurate preoperative diagnosis of breast tumors in children.
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27 Japanese breast cancer society clinical guidelines
28 accurate preoperative diagnosis
29 age
30 anesthesia
31 aspiration
32 biopsy
33 breast
34 breast cancer
35 breast cancer society clinical guidelines
36 breast carcinoma
37 breast masses
38 breast tumors
39 cancer
40 cancer society clinical guidelines
41 carcinoma
42 cases
43 children
44 clinic
45 clinical guidelines
46 correct preoperative diagnosis
47 deep sedation
48 diagnosis
49 diagnostic procedures
50 diagnostic tool
51 distinction
52 elasticity
53 elastography
54 evaluation
55 examination
56 excision biopsy
57 excisional biopsy
58 experience
59 findings
60 fine-needle aspiration
61 first report
62 general anesthesia
63 girls
64 guidelines
65 hard mass
66 high stiffness score
67 increase
68 intra-operative procedures
69 invasive diagnostic procedures
70 invasive secretory breast carcinoma
71 left breast
72 majority
73 malignant breast tumors
74 malignant tumors
75 mass
76 needle aspiration
77 noninvasive examination
78 objective diagnostic tool
79 outpatient clinic
80 pain
81 palpable mass
82 parameters
83 pathological diagnosis
84 pathological findings
85 people
86 premature thelarche
87 preoperative diagnosis
88 preoperative findings
89 procedure
90 psychomotor retardation
91 report
92 retardation
93 retrospective review
94 review
95 scores
96 secretory breast cancer
97 secretory breast carcinoma
98 sedation
99 size
100 society clinical guidelines
101 stiffness
102 stiffness scores
103 such parameters
104 thelarche
105 tissue elasticity
106 tool
107 tumors
108 year old girl
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