A Rare Case of High-Grade Spindle Cell Sarcoma of the Breast : A Case Report

© 2024 The Author(s). Published by S. Karger AG, Basel..

Introduction: Spindle cell sarcomas are rare breast lesions which are difficult to diagnose due to resemblance with other breast lesions. Histopathological examination and immunohistochemical staining are essential for diagnosis.

Case Presentation: We present a rare case of a 15-year-old female presenting with high-grade rapidly progressive spindle cell sarcoma of the breast, differentiated as phyllodes tumor, with axillary lymph node involvement. Her lesion, on the left breast, measured 16.9 × 10.1 × 13.7 cm. Histology revealed malignant neoplasm arranged in sheets and individual neoplastic cells with an epithelioid to spindled morphology with scant cytoplasm and irregular nuclear membranes. Immunohistochemistry showed weakly positive focal CD-99, and negative WT-1, Myogenin, Desmin, p63, Cytokeratin, Synaptophysin, and CD-34 markers. She was successfully managed with modified radical mastectomy and discharged with regular follow-up advised.

Conclusion: Spindle cell sarcomas have a very aggressive course and prompt diagnosis, and management is mandatory for better patient outcomes. Modified radical mastectomy is the mainstay of treatment.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:17

Enthalten in:

Case reports in oncology - 17(2024), 1 vom: 27. Jan., Seite 217-224

Sprache:

Englisch

Beteiligte Personen:

Tharwani, Zoaib Habib [VerfasserIn]
Habib, Zehra [VerfasserIn]
Ahmed, Yumna [VerfasserIn]
Ishrat, Samreena [VerfasserIn]
Nashwan, Abdulqadir J [VerfasserIn]

Links:

Volltext

Themen:

Breast cancer
Case Reports
Case report
Phyllodes tumor
Spindle cell carcinoma

Anmerkungen:

Date Revised 10.02.2024

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.1159/000536125

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM368231186