Breast abscess as the initial manifestation of primary pure squamous cell carcinoma: a rare presentation and literature review

Breast Disease
Nikolaos S Salemis

Abstract

Primary squamous cell carcinoma of the breast is a very rare tumor accounting for less than 0.4% of all breast cancers. Fewer than 100 cases have been reported in the literature so far. The diagnosis requires strict pathologic criteria to be fulfilled. Due to the rarity of this tumor the optimal treatment and prognosis are both unclear. Breast abscess as the initial presentation of a primary squamous cell breast carcinoma is an extremely rare clinical entity. In this study, we describe a case of a 61-year-old postmenopausal woman who presented with typical manifestations of a breast abscess and was diagnosed with a pure primary squamous cell breast carcinoma. Diagnostic evaluation and management of the patient are discussed along with a review of the literature. Despite its rarity, the possibility of a primary pure squamous cell breast carcinoma should always be considered in the differential diagnosis in postmenopausal patients presenting with manifestations of a breast abscess, especially in those who respond poorly to the initial treatment. Physicians should be aware of this rare malignancy in order to avoid delays in diagnosis and treatment.

Citations

Mar 18, 2015·Asian Journal of Surgery·Keiichi TakahashiMasayuki Shintaku
Dec 21, 2013·Singapore Medical Journal·Sadaf AlipourRobab Anbiaee
Jan 16, 2014·Indian Journal of Surgical Oncology·Vishnu KurpadH R Harindranath
Jul 1, 2017·Annals of the Royal College of Surgeons of England·T Richardson, F Cottier
Mar 16, 2018·Molecular and Clinical Oncology·Kamil PohlodekIveta Mečiarová
Mar 21, 2018·Molecular and Clinical Oncology·Katarzyna JakubowskaWaldemar Famulski

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