Adenoid Cystic Carcinoma of The breast: a Clinical Case Report

Kocaay, Akın Fırat; Çelik, Süleyman Utku; Hesimov, Ilkin; Eker, Tevfik; Percinel, Sıbel; Demirer, Seher

doi:10.5455/medarh.2016.70.392-394

Cited by 17 publications

(25 citation statements)

References 10 publications

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“…There are numerous studies on cytology of salivary ACC; however, the cytology of extra‐salivary ACC is rarely explored. Case reports of extra‐salivary of ACC have been described in rare sites including orbit, breast, skin, vulva and trachea . Herein, we discuss a large series (27 cases) of extra‐salivary ACC diagnosed on FNAC.…”

Section: Discussionmentioning

confidence: 99%

“…In case of tracheal ACC, surgical excision is the mainstay of the treatment, with adjuvant radiotherapy . ACC of the breast is treated surgically . ACC of the ear is managed by extensive surgical resection of the auditory canal and adjacent structures …”

Section: Discussionmentioning

confidence: 99%

“…The behaviour of extra‐salivary ACC may differ depending upon the primary site of origin (Table ). Likewise, ACC affecting the breast shows excellent prognosis and rarely metastasises, despite its triple‐negative status . Orbital ACC is one of the most malignant tumours of the orbit .…”

Section: Introductionmentioning

confidence: 99%

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Fine‐needle aspiration cytology of extra‐salivary adenoid cystic carcinoma

et al. 2019

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Introduction Adenoid cystic carcinoma (ACC) is a ubiquitous tumour which can occur in several sites of the human body. Commonly, it affects the salivary glands but also can rarely occur in various extra‐salivary locations. Aim To study the clinical and cytological features of extra‐salivary ACC on fine needle aspiration cytology. Methods In this paper, we included 27 patients with extra‐salivary ACC on fine needle aspiration cytology over a period of 5.5 years. The complete cytomorphological spectrum of extra‐salivary ACC was studied. Results The mean age of the patients was 50.2 years, with age ranging between 14 and 80 years. Male to female ratio was 1:1.7 with 17 females and 10 males. The most frequent primary site was the orbit, and the most frequent sites of metastasis were liver and lung. Conclusion Cytopathologists should be alert about the full range of location as well as the cytological spectrum of extra‐salivary ACC for greater precision in diagnosis and prompt treatment.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Fine‐needle aspiration cytology of extra‐salivary adenoid cystic carcinoma

et al. 2019

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“…Five-year relative survival was excellent among women aged <50 years (94.4%) and ≥50 years (99.0%) [4]. Regular long term follow up with chest x-ray and thorough physical examination is essential as there have reports of late onset of local relapse, as well as distant metastasis [10].…”

Section: Vol 3 Issue 2 Apr -Jun 2017mentioning

confidence: 99%

A Rare Case of Teenage Adenoid Cystic Carcinoma of the Breast

Lilamwala

Rao

et al. 2017

IJCR

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Adenoid cystic carcinoma (ACC) of the breast is very rare, accounting for only 0.1% of all breast carcinomas. Their rarity has made them difficult to study systematically with the most published series consisting of few cases or case reports; although, this existing evidence does suggest a good prognosis. ACC usually affects women, more in the sixth decade of life. However, our case has an exceptionally early onset of cancer at 16 years, the youngest ever reported in literature. Good local control can be obtained with lumpectomy and radiation or simple mastectomy for nearly all tumors. A routine axillary lymph node dissection is not recommended. We gave adjuvant radiotherapy to this patient in view of close margins and presence of lymphovascular emboli. She tolerated well with minimal side effects. Chemotherapy and hormonal therapy have no established benefit.

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“…ACC accounts for 0.1–1% of all breast cancers [ 4 , 5 ]. The major issue in the management is, due to its rarity, the absence of clinical trials enrolling these patients to determine the best treatment plan.…”

Section: Introductionmentioning

confidence: 99%

Adenoid cystic carcinoma of the breast - Discordant size on imaging and pathology: A case report and review of literature

Agafonoff

Sobolewski

Braverman

2019

Annals of Medicine and Surgery

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Introduction Adenoid cystic carcinoma (ACC) is an uncommon tumour of the breast. It is known for its rare lymph node involvement and distant metastasis. A triple-negative breast cancer that has a favorable prognosis compared to other triple negative ductal carcinomas, it accounts for approximately 0.1–1% of all breast cancers. Presentation of case We report a case of a 69-year-old female with a palpable left breast mass who underwent multiple imaging modalities with significant size variance between the studies. Breast conserving therapy (BCT) was performed with axillary sentinel lymph node biopsy (SLNB) followed by radiation therapy (RT). Pathological examination confirmed the tumour as ACC. Discussion ACC, known as an persistent if low-grade malignant tumour of salivary gland, is considered to have low-malignant potential in the breast. It is a very rare subtype and from this scant data, there is minimal mention about size discrepancy between imaging modalities such as ultrasound and MRI. No consistent MRI features have been demonstrated, with the exception of T2 hyperintensity in larger lesions and T2 iso-intensity in smaller lesions. Ultrasound demonstrates primarily a hypoechoic or heterogenous mass with minimum vascularity, consistent with our radiographic findings. Conclusion ACC is a rare entity in breast cancer pathology. Its size can be highly variable as measured by various radiographic modalities, and final Pathology from the surgical specimen is, as always, required for an accurate tumoral diameter. With that caveat, careful utilization of pre-operative imaging modalities is critical in pre-surgical planning to choose the appropriate surgery.

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Adenoid Cystic Carcinoma of The breast: a Clinical Case Report

Cited by 17 publications

References 10 publications

Fine‐needle aspiration cytology of extra‐salivary adenoid cystic carcinoma

Fine‐needle aspiration cytology of extra‐salivary adenoid cystic carcinoma

A Rare Case of Teenage Adenoid Cystic Carcinoma of the Breast

Adenoid cystic carcinoma of the breast - Discordant size on imaging and pathology: A case report and review of literature

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