Secretory carcinoma breast: A rare cytodiagnosis.
Keywords:
Secretory Carcinoma, Breast, FNAC
Abstract
Secretory carcinoma is a rare low grade malignant breast carcinoma of children and adults. Since patients are often young and presents with indolent breast lump in the breast, a high degree of suspicion is often needed for the clinical diagnosis. Fine needle aspiration cytology (FNAC) is often the primary investigation, and because of the indolent clinical presentation, rarity of tumour and unanticipated cytological findings a primary cytological diagnosis of secretory carcinoma is often difficult.We present a case of 13-year-old female, presented with a well defined mobile right breast lump. The aspiration cytology revealed highly cellular smears consisted of singly scattered and loosely cohesive cluster of monomorphic cell population of round to ovoid cells with bland cytological appearance in background of thick mucinous material, leading to cytological diagnosis of secretory carcinoma. A primary diagnosis of secretory carcinoma on FNAC can provide early and definite surgical management including simple mastectomy with axillary lymph node resection recommended for treatment of secretory carcinoma.References
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6. Lamovec J, Bracko M . Secretory carcinoma of the breast: light microscopical, immunohistochemical and flow cytometric study. Mod Pathol.1994; 7: 475- 9.
2. Lamovec J, Bracko M . Secretory carcinoma of the breast: light microscopical, immunohistochemical and flow cytometric study. Mod Pathol. 1994;7: 475-9.
3. Rosen PP, Cranor ML. Secretory carcinoma of the breast. Arch Pathol Lab Med. 1991; 115: 141-4.
4. Shanthi V, Rama Krishna BA, Rao NM, Sujatha C. Cytodiagnosis of secretory carcinoma of the breast. J Cytol. 2012 Jan-Mar; 29(1): 63-5.
5. Jayaram G, Looi LM, Yip CH. Fine needle aspiration cytology of secretory carcinoma of breast: a case report. Malays J Pathol. 1997;19:69-73.
6. Lamovec J, Bracko M . Secretory carcinoma of the breast: light microscopical, immunohistochemical and flow cytometric study. Mod Pathol.1994; 7: 475- 9.
Published
2016-02-25
Issue
Section
Case Report
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