May 16, 2020

TTF-1 Positive Primary Small Cell Carcinoma of the Breast: A Case Report and Review of the Literature

Frontiers in Endocrinology
Hinda BoutridMathew A Cherian

Abstract

Primary small cell carcinoma of the breast (SCCB) is a rare tumor subtype comprising <0.1% of all breast carcinomas. Here we present a case of thyroid transcription factor-1 (TTF-1) positive SCCB that recurred within 3 years of diagnosis in the lung and lymph nodes. Given the small number of cases, no clear guidelines exist on the appropriate management of patients with these aggressive tumors. We present a case study and review the current literature to highlight the knowledge gaps and needs of patients with these rare tumors. A 50-year-old premenopausal woman with no family history, presented with a palpable right breast mass. Biopsy was consistent with primary SCCB that was poorly differentiated, positive for synaptophysin and chromogranin and TTF-1 and presence of ductal carcinoma in situ component showing neuroendocrine differentiation. Imaging with PET, CT, and MRI brain excluded any other sites of primary disease. She underwent a right lumpectomy with axillary lymph node dissection and was treated with adjuvant cisplatin-based chemotherapy and concurrent radiation therapy. Thirty-four months later, routine scans showed a new right lower-lobe lung nodule and an enlarged sub-carinal node that was proven to be poorly differ...Continue Reading

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Mentioned in this Paper

Primary Disease
Disease Management
Malignant Neoplasms
Segmental Mastectomy
Chemotherapy, Adjuvant
Woman
Synaptophysin
Therapeutic Radiology Procedure
Lymph Nodes
Analysis

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