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Primary Small Cell Neuroendocrine Carcinoma of the Breast: A Case Report With Literature Review

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초록

Small cell neuroendocrine carcinoma is a high-grade and poorly differentiated tumor typically presenting as primary pulmonary neoplasm. Extrapulmonary small cell carcinoma is rare. Primary small cell neuroendocrine carcinoma of the breast (SCNCB) is extremely rare, with an incidence of less than 0.1% of all breast cancers. Herein, we report imaging features of SCNCB incidentally diagnosed in a 58-year-old woman along with a literature review. The tumor was observed to be a round and circumscribed mass with rim enhancement, heterogeneous intra-tumoral enhancement, and peritumoral edema on MRI. The patient underwent breast-conserving surgery with adjuvant chemotherapy and radiation therapy. No tumor recurrence was observed during the 2-year follow-up visits after surgery.

Abstract

Small cell neuroendocrine carcinoma is a high-grade and poorly differentiated tumor typically presenting as primary pulmonary neoplasm. Extrapulmonary small cell carcinoma is rare. Primary small cell neuroendocrine carcinoma of the breast (SCNCB) is extremely rare, with an incidence of less than 0.1% of all breast cancers. Herein, we report imaging features of SCNCB incidentally diagnosed in a 58-year-old woman along with a literature review. The tumor was observed to be a round and circumscribed mass with rim enhancement, heterogeneous intra-tumoral enhancement, and peritumoral edema on MRI. The patient underwent breast-conserving surgery with adjuvant chemotherapy and radiation therapy. No tumor recurrence was observed during the 2-year follow-up visits after surgery.

참고문헌 (10)

  1. Pareja F, "Neuroendocrine neoplasms of the breast : a review focused on the updated World Health Organization(WHO)5th edition morphologic classification", Breast J, 26, pp.1160~1167 (2020)
  2. Berniker AV, "Extrapulmonary small cell carcinoma : imaging features with radiologic-pathologic correlation", Radiographics, 35, pp.152~163 (2015)
  3. Tremelling A, "Primary small cell neuroendocrine carcinoma of the breast-A case report and review of the literature", Int J Surg Case Rep, 38, pp.29~31 (2017)
  4. Salemis NS, "Primary neuroendocrine carcinoma of the breast : a rare presentation and review of the literature", Intractable Rare Dis Res, 9, pp.233~246 (2020)
  5. 박상은, "Mammographic, Sonographic, and MRI Features of Primary Neuroendocrine Carcinoma of the Breast: A Case Report", 대한영상의학회지, 82(3), pp.737~742 (2021), 대한영상의학회
  6. Wang J, "Invasive neuroendocrine carcinoma of the breast: a population-based study from the surveillance, epidemiology and end results (SEER)database", BMC Cancer, 14, pp.147~ (2014)
  7. Jeon CH, "Clinical and radiologic features of neuroendocrine breast carcinomas", J Ultrasound Med, 33, pp.1511~1518 (2014)
  8. Cheon H, "Invasive breast cancer : prognostic value of peritumoral edema identified at preoperative MR imaging", Radiology, 287, pp.68~75 (2018)
  9. Chong S, "Neuroendocrine tumors of the lung: clinical, pathologic, and imaging findings", Radiographics, 26, pp.41~57 (2006)
  10. Lewis RB, "Pancreatic endocrine tumors : radiologic-clinicopathologic correlation", Radiographics, 30, pp.1445~1464 (2010)

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