Intracystic mucinous carcinoma of breast -A case report

2^nd World Congress on Breast Cancer

September 19-21, 2016 Phoenix, USA

Barani Karikalan and Thanikachalam Pasupathi

Mahsa University, Malaysia

Posters & Accepted Abstracts: J Cancer Sci Ther

Abstract :

Cystic breast mass is one of the common conditions that a female patient presents with in any breast clinic. Carcinomas that commonly present as cystic lesions are papillary carcinomas, cystic degeneration of ductal carcinomas and very rarely mucinous carcinomas. Regardless of histological type, breast carcinomas that present as cysts have a very good prognosis. So, evaluating cystic lesions of breast to diagnose intracystic cancers at an early stage plays an important role in the prognosis of the patient. Here we present a case of intracystic mucinous carcinoma in a 31-year-old patient. The patient came with the complaint of having noticed a mass in her left breast for the past one month. On examination, the mass was located in the upper outer quadrant of left breast measuring about 3x2cm. The mass was found to be soft to firm in consistency and was not attached to the overlying skin or the chest wall. No other masses or axillary lymph nodes noticed. FNAC was done and revealed inconclusive report. The mass was then excised and sent for histopathological examination. On gross examination, the breast lump specimen was a cystic nodule measuring about 3.2x2cm. On cut section, there was a well circumscribed cystic lesion measuring about 3x1.8cm. Excised margins were free. On microscopy, the lesion was a well-circumscribed mucinous cystic lesion containing mucinous pools suspended within which well-differentiated malignant ductal component distributed in the form of solid nests and occasional glandular configuration. A diagnosis of intracystic, grade I, mucinous carcinoma of the breast was made with Modified bloom Richardson�s grading of 4/9. Intracystic breast carcinomas are not only of diagnostic curiosity, but are also of prognostic significance.