Breast adenomyoepithelioma, a case report. (2020)

• Record Type: Journal Article
• Authors: El-Helou, Etienne; Terro, Jad J.; Kansoun, Alaa; Neaime, Georges Robert; Mochairefa, Haytham; Ismail, Nathalie; Naccour, Jessica; Zaarour, Mariana; Alam, Houssam
• Is Part Of: International journal of surgery case reports. Volume 77(2020)
• Page Start: 660
• Page End: 663
• Publication Date: 2020
• Subjects: AME Adenomyoepithelioma -- CT Computed Tomography -- ER Estrogen Receptor -- FNA Fine Needle Aspiration -- MRI Magnetic Resonance Imaging -- PR Progesteron Receptor -- SLND sentinel lymph node dissection; Adenomyoepithelioma -- Case report -- Benign mass -- Surgical excision -- Asymptomatic; Surgery -- Periodicals; Surgical Procedures, Operative -- Periodicals; Surgery; Electronic journals; Periodicals; 617.005
• DOI: 10.1016/j.ijscr.2020.11.110
• Languages: English
• ISSNs: 2210-2612

Abstract

Highlights: Adenomyoepithelioma is a rare tumor of the breast characterized by a biphasic proliferation. Variable spectrum of behavior ranging from benign to malignant, with tendency to local recurrence. Combine sentinel lymph node dissection (SLND), with simple mastectomy. Hematogenous spread is the more common means of spread. Adjuvant chemotherapy for malignant AME cases is recommended. Abstract: Background: Adenomyoepithelioma is a rare tumor of the breast characterized by a dual/biphasic proliferation of two cell populations: the epithelial cells and the myoepithelial cells. The first case was reported in 1970. The majority of the cases are benign, but few malignant cases were reported in literature. Case presentation: A case of a 66-year-old lady presenting with an asymptomatic breast mass, of 18 × 17 × 15 mm size with irregular borders and negative metastatic workup. The patient was operated for wide local excision of the tumor, with a confirmed negative margins intraoperatively. The final pathology was Adenomyoepithelioma. Conclusion: We report this rare case to encourage physicians to keep this etiology in mind as part of the differential diagnosis of breast mass.