Carcinome Papillaire Intra-kystique du Sein : A Propos d’Un Cas au Service de Gynécologie-obstétrique du CHU Kara
Keywords:
Carcinome papillaire intra kystique, sein, diagnostic, traitement, chu-KaraAbstract
Introduction : Le carcinome papillaire intra-kystique est une entité histologique rare de cancer du sein dont les principales caractéristiques sont l’évolution lente et un bon pronostic. Du fait de sa rareté, l’attitude thérapeutique varie selon les équipes. Il est rapporté une expérience de la prise en charge d’un de carcinome papillaire intra-kystique du sein chez une patiente de 59 ans. Observation médicale : Il s’agissait d’une patiente âgée de 59 ans, G8P8, ménopausée, ayant consulté pour masse du sein gauche. Cliniquement la masse était mobile, sans adénopathie. La mammographie et l’échographie mammaire retrouvaient une lésion tissulaire probablement suspecte du QSE du sein gauche, classée ACR4. L’examen histologique après tumorectomie concluait à un carcinome papillaire intrakystique in situ du sein gauche. Une radiothérapie complémentaire a été réalisée avec bonne tolérance de la patiente. Après 3ans de recul, le bilan clinique et l’imagerie étaient normale. Conclusion : Le carcinome papillaire intra-kystique est rare avec une prise en charge thérapeutique mal codifiée. Néanmoins il reste une entité histologique de bon pronostic.
Introduction: Intracystic papillary carcinoma is a rare histological entity of breast cancer whose main characteristics are slow evolution and good prognosis. Because of its rarity, the therapeutic attitude varies according teams. We report our experience in management of breast intracystic papillary carcinoma in patient 55-year-female. Medical observation: A 59-years old, woman( gravida 8, para 8), postmenopausal, consulted for breast lump. The lump was movale, without adenopathy. Mammography and breast ultrasound revealed a probably suspicious tissue lesion of the left breast, classified as ACR4. Histological examination after tumorectomy concluded an intracystic papillary carcinoma. A complementary radiotherapy was performed with good tolerance of the patient. After 3 years of follow-up, the clinical and imaging findings were normal. Conclusion: Intracystic papillary carcinoma is a rare disease with a poorly codified therapeutic management. Nevertheless it remains a histological entity with a good prognosis.
References
Abounouh N, Belkouchi FZ, Zidane F, Yousfi M, Amrani S, Bargach S. Carcinome Papillaire Mammaire Intra Kystique: A Propos De Deux Cas. Global Journal of Medical Research: E Gynecology and Obstetrics 2017 Volume 17 Issue 1
Ait benkaddour Y, El Hasnaoui S, Fichtali K, Fakhir B, Jalal H, Kouchani M, Aboulfalah A, Abbassi H. Intracystic papillary carcinoma of the breast: report of three cases and literature review. Case Rep Obstet Gynecol 2012; 2012:979563
Andrés B, Aguilar J, Torroba A, Martínez-Gálvez M, Aguayo JL. Intracysticpapillary carcinoma in the male breast. Breast J. 2003;9:249–250
Baron M, Ladonne JM, Resch B, D'Anjou J. Traitement du carcinome papillaire intrakystique du sein, Imagerie de la Femme 2003 ; Vol 12, N° 3 pp. 209-211
Bensaad H, Latib R, Chami I, Boujida MN, Jroundi L. Carcinome papillaire mammaire et dystrophie fibrokystique. Maroc Médical 2013 ; tome 35 n°3
Brookes MJ, Bourke AG. Radiological appearances of papillary breast lesions. Clinical Radiology 2008 ; vol. 63, no. 11, pp. 1265– 1273
Esposito E, Di Bonito M, Iodice G, Avino F, Donzelli I, Fucito A, Melucci MT, Saponara R, Siani C, Tortoriello1 R, Rinaldo M, di Giacomo R. Intracystic papillary breast carcinoma with DCIS in a man: a case report. Transl Cancer Res 2019;8(Suppl 5):S445-S448
Fayanju OM, Ritter J, Gillanders WE, Erbelein TJ, Dietz JR, Aft R, Margenthaler JA. Therapeutic management of intracystic papillary carcinoma of the breast: the roles of radiation and endocrine therapy. Am J Surg. 2007 Oct;194(4):497-500
Grabowski J, Salzstein SL, Sadler GR, Blair S. Intracystic papillary carcinoma: a review of 917 cases. Cancer. 2008;113(5): 916-920
Hariprasad S, Hariprasad P, Srinivas T. Intracystic papillary carcinoma of the breast in males: a case report and review of the literature. J Clin Diagn Res 2013 ; 7: 568-570
Harris KP, Faliakou EC, Exon DJ, Treatement and outcome of intracystic papillary carcinoma of the breast, Br J Surg 1999; 86: 1274
Ingle SB, Hinge Ingle CR, Murdeshwar HG, Adgaonkar BD. Unusual case of insitu (intracystic) papillary carcinoma of breast. World J Clin Cases. 2013; 16: 227- 922
Lam WWM, Tang APY, Tse G, and Chu WCW. Radiologypathology conference: papillary carcinoma of the breast, Clinical Imaging 2005 ; vol. 29, no. 6, pp. 396–400
Larribe M, Thomassin-Piana J, JalaguierCoudray A, Cancers mammaires de forme ronde :corrélations imagerieanatomopathologie, Journal de Radiologie Diagnostique et Interventionnelle 2014 ; Volume 95, Issue 1, Pages 40-50.
Levine PH, Waisman J, Yang GC. Aspiration cytology of cystic carcinoma of the breast. Diagn Cytopathol 2003;28: 39—44
Lefkowitz M, Usar CM, Lefkowitz W, Wargotz ES. Intraductal (intracystic) papillary carcinoma of the breast and its variants: A clinicopathological study of 77 cases. Hum Pathol. 1994; 25: 802-809
MacGrogan G, de Mascarel I, Soubeyran C, Barreau H, Dilhuydy C, de Lara T, Coindre B. Approche diagnostique dans les lesions papillaires du sein. Annales de Pathologie 2003 ;Vol 23, N° 6 pp. 601-610
MacGrogan G, Pièges diagnostiques en pathologie mammaire. Cas no 1. Carcinome canalaire in situ (CCIS) de bas grade nucléaire, d’architecture papillaire, micropapillaire et cribriforme, Annales de Pathologie 2009 ; Volume 29, Issue 3, Pages 188-193
Masahiro K, Satoshi H, Yoshinari M, Kazuhiro S, Naoyuki M , Tadahiro S. Surgical treatment of intracystic carcinoma of the breast. World Journal of Surgical Oncology 2011 9:116 doi:10.1186/1477- 7819-9-116
Muttarak M, Samwangprasert A, Chaiwun B . Intracystic papillary carcinoma of the breast, Biomed Imaging Interv J. 2005 Jul-Sep; 1(1): e5
Salem A, Mrad K, Driss M, Hamza R, Mnif N. Intracystic papillary carcinoma of the breast.J Radiol. 2009 Apr; 90(4):515-518
Solorzano CC, Middleton LP, Hunt KK, Mirza N, Meric F, Kuerer HM, Ross MI, Ames FC, Feig BW, Pollock RE, Singletary SE, Babiera G.Am J Surg. 2002 Oct;184(4):364-8. doi: 10.1016/s0002- 9610(02)00941-8
Sun Y and Howard-McNatt M: Intracystic papillary carcinoma of the breast in a male patient. Am Surg 2014 ; 80: 84-85
Umanah IN, Okpongette AS. Intracystic papillary carcinoma of the breast in a 21-year old premenopausal Nigerian woman: a case report. Rare Tumors 2009; volume 1(2) : e50
Vagholkar K, Dastoor K and Gopinathan I: Intracystic papillary carcinoma in the male breast: a rare endpoint of a wide spectrum. Case Reports in Oncological Medicine Volume 2013, Article ID 129353, 3 pages
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