Invasive breast carcinoma with osteoclast-like stromal giant cells:A case report  

作　　者：Yi-Jie Wang Chien-Peng Huang Zhi-Jie Hong Guo-Shiou Liao Jyh-Cherng Yu 

机构地区：[1]Department of Surgery,Tri Service General Hospital,National Defense Medical Center,Taipei 114,Taiwan [2]Department of Pathology,Tri Service General Hospital,National Defense Medical Center,Taipei 114,Taiwan [3]Division of Traumatology,Department of Surgery,Tri-Service General Hospital,National Defense Medical Center,Taipei 114,Taiwan [4]Division of General Surgery,Department of Surgery,Tri Service General Hospital,National Defense Medical Center,Taipei 114,Taiwan

出　　处：《World Journal of Clinical Cases》2023年第7期1521-1527,共7页世界临床病例杂志

摘　　要：BACKGROUND Invasive breast carcinoma with osteoclast-like stromal giant cells(OGCs) is an extremely rare morphology of breast carcinomas.To the best of our knowledge,the most recent case report describing this rare pathology was published six years ago.The mechanism controlling the development of this unique histological formation is still unknown.Further,the prognosis of patients with OGC involvement is also controversial.CASE SUMMARY We report the case of a 48-year-old woman,who presented to the outpatient department with a palpable,growing,painless mass in her left breast for about one year.Sonography and mammography revealed a 26.5 mm ×18.8 mm asymmetric,lobular mass with circumscribed margin and the Breast Imaging Reporting and Data System was category 4C.Sono-guided aspiration biopsy revealed invasive ductal carcinoma.The patient underwent breast conserving surgery and was diagnosed with invasive breast carcinoma with OGCs,grade Ⅱ,with intermediate grade of ductal carcinoma in situ(ER:80%,3+,PR:80%,3+,HER-2:negative,Ki 67:30%).Adjuvant chemotherapy and post-operation radiotherapy were initiated thereafter.CONCLUSION As a rare morphology of breast cancer,breast carcinoma with OGC occurs most often in relatively young women,has less lymph node involvement,and its occurrence is not racedependent.

关 键 词：Breast carcinoma Osteoclast stromal giant cell PATHOLOGY Histochemical stains Prognosis Case report 

分 类 号：R737.9[医药卫生—肿瘤]