論文

査読有り 国際誌
2021年1月6日

Metaplastic carcinoma of the breast and BRCA1 germline mutation: a case report and review.

Hereditary cancer in clinical practice
  • Michiko Yamashita
  • Yoshiaki Kamei
  • Akari Murakami
  • Erina Ozaki
  • Kumiko Okujima
  • Kana Takemoto
  • Megumi Takaoka
  • Daiki Tsukamoto
  • Erina Kusakabe
  • Tomoyuki Shidahara
  • Haruna Noda
  • Reina Aoki
  • Kana Taguchi
  • Kanako Nishiyama
  • Mariko Eguchi
  • Yasutsugu Takada
  • 全て表示

19
1
開始ページ
3
終了ページ
3
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1186/s13053-020-00162-x
出版者・発行元
Springer Science and Business Media LLC

BACKGROUND: Metaplastic carcinoma of the breast consists of both invasive ductal carcinoma and metaplastic carcinoma. This rare subtype of cancer has a poor prognosis. The development of metaplastic breast cancer and relationship with BRCA1 are not well known. Here, we report a rare case of germline BRCA1 mutation-positive breast cancer with chondroid metaplasia. CASE PRESENTATION: A 39-year-old Japanese woman with a family history of breast cancer in her mother and ovarian cancer in her maternal grandmother consulted at our hospital with a left breast mass. Needle biopsy for the mass was performed, leading to a diagnosis of invasive breast cancer with chondroid metaplasia. We performed left mastectomy + sentinel lymph node biopsy + tissue expander insertion and replaced with a silicone implant later. Pathological examination revealed that the patient had triple-negative breast cancer. Four courses of doxorubicin+ cyclophosphamide therapy were performed as adjuvant therapy after surgery. We performed genetic counseling and genetic testing, and the results suggested the germline BRCA1 mutation 307 T> A (L63*). She has currently lived without a relapse for 2 years post-surgery. CONCLUSIONS: There have been only 6 cases of metaplastic breast carcinoma with germline BRCA1 mutations including our case. Patients with BRCA1 mutations may develop basal-like subtypes or M type of triple-negative breast cancer besides metaplastic breast cancers.

リンク情報
DOI
https://doi.org/10.1186/s13053-020-00162-x
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/33407746
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7789215
URL
http://link.springer.com/content/pdf/10.1186/s13053-020-00162-x.pdf
URL
http://link.springer.com/article/10.1186/s13053-020-00162-x/fulltext.html
ID情報
  • DOI : 10.1186/s13053-020-00162-x
  • eISSN : 1897-4287
  • PubMed ID : 33407746
  • PubMed Central 記事ID : PMC7789215

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