Breast Cancer infiltrative Ductal Carcinoma in the lactating Young Patient:: A Case Report

اولين كنگره بين المللي تازه هاي پيشگيري، تشخيصي و درماني سرطان پستان

18 الي 20 آبان 1395، تبريز - ايران

Presentation Type: Poster
Abstract: Breast cancer is quite rare in very young women. It is a disease primarily of older women, with 75% of cases occurring in women over 50 years of age. Only 6.5% of cases occur in women under 40 years of age, and a mere 0.6% of cases in women under 30 years of age. Thus, in the U.S., only about 1,200 cases of breast cancer occur in women under 30 years of age each year(1). Mammography is capable of displaying changes in breast tissue several years before physical symptoms appear or before any abnormal masses can be palpated. A 26-year-old lactating woman presented with pain in her right outer breast. She was also suffering from redness and swelling of the breast for a 3 day period. She first underwent a mammogram that appeared essentially normal. Next, an ultrasound imaging of her right breast revealed no abnormal masses. However, there was increased echogenicity and skin thickening in the outer half of her breast, possibly due to tissue inflammation. The clinical impression indicated mastitis of the right breast. She was treated with oral antibiotics for 1 week that resulted in a resolution of her symptoms. A follow-up ultrasound was performed 1 month after her symptoms first appeared. the patient’s condition improved with antibiotics each time an episode of inflammation occurred, an underlying breast malignancy needed to be ruled out because of the new episode of nipple retraction. A core biopsy was carried out to examine the inflamed breast tissue in the patient. The core biopsy showed infiltrative ductal carcinoma scirrous type with focal chronic mastitis. Up to 50% of the involved milk ducts in the patient’s right breast demonstrated features of cystic hypersecretory infiltrative ductal carcinoma