Primary breast adenoid cystic carcinoma — insights from a 4-case series

INTRODUCTION: Adenoid cystic carcinoma (AdCC) of the breast is a rare, slow-growing yet locally aggressive malignancy,often exhibiting a triple-negative immunophenotype. This study evaluated the clinical and pathological aspectsof primary breast AdCC in a cohort of four cases. MATERIAL AND METHODS:...

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Main Authors: Aneta Podczerwińska, Clara Kuzminski, Aleksandra Ambicka, Aleksandra Grela-Wojewoda, Marek Ziobro, Jerzy W. Mituś, Miroslawa Püsküllüoğlu
Format: Article
Language:English
Published: Via Medica 2025-01-01
Series:Nowotwory
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Online Access:https://journals.viamedica.pl/nowotwory_journal_of_oncology/article/view/103509
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Summary:INTRODUCTION: Adenoid cystic carcinoma (AdCC) of the breast is a rare, slow-growing yet locally aggressive malignancy,often exhibiting a triple-negative immunophenotype. This study evaluated the clinical and pathological aspectsof primary breast AdCC in a cohort of four cases. MATERIAL AND METHODS: We conducted an extensive review of medical and pathological records of breast cancer (BC)patients treated between 2012 and 2024. RESULTS: Four female patients with a median age at diagnosis of 60 years, presenting with stage T1 or T2 and confirmeddiagnoses of breast AdCC were identified. Two cases presented triple-negative phenotype, two had positive hormonalreceptor status. All patients had breast conserving surgeries. The first patient was offered systemic treatment. The secondpatient underwent systemic treatment and later developed metastases. The third patient received adjuvant radiotherapy.The fourth patient received hormonal therapy and subsequently underwent radiation therapy. CONCLUSIONS: Breast AdCC presents diagnostic and therapeutic challenges, with immunohistochemistry crucial fordiagnosis. Further assessment of BCT, lymph node dissection, and adjuvant therapy is needed.
ISSN:0029-540X
2300-2115