CASE REPORT – OPEN ACCESS International Journal of Surgery Case Reports 34 (2017) 100–102
Contents lists available at ScienceDirect
International Journal of Surgery Case Reports journal homepage: www.casereports.com
Metaplastic breast carcinoma with osseous differentiation: A rare case report Abdulwahid M. Salih a , F.H. Kakamad b,c,∗ , Yadkar A. Saeed d , Aso S. Muhialdeen d a Faculty of Medical Sciences, School of Medicine, Department Surgery, University of Sulaimani, Franc¸ois Mitterrand Street, Sulaimani, Kurdistan Region, Iraq b Faculty of Medical Sciences, School of Medicine, Department Cardiothoracic and Vascular Surgery, University of Sulaimani, Franc¸ois Mitterrand Street, Sulaimani, Kurdistan Region, Iraq c Bioscience Center, Hamdi Street, Sulaimani, Kurdistan Region, Iraq d Sulaimani Teaching Hospital, Sulaimani, Kurdistan Region, Iraq
a r t i c l e
i n f o
Article history: Received 22 February 2017 Received in revised form 14 March 2017 Accepted 16 March 2017 Available online 21 March 2017 Keywords: Metaplastic Osseous differentiation Hard mass
a b s t r a c t INTRODUCTION: Metaplastic breast carcinoma (MBC) is a rare type of breast cancer. Osseous differentiation is a very rare subtype. Reporting this kind of case is important because its clinical course and line of management are poorly mentioned in the literatures. We present a very rare case of MBC with osseous differentiation. A 48-year-old female presented with painless hard mass of the left breast. Examination and investigations showed MBC with osseous differentiation. She was managed by operation with adjuvant chemotherapy. CONCLUSION: MBC with osseous differentiation is a very rare type of breast carcinoma presenting with hard mass and managed by mastectomy, axillary lymph node sampling and adjuvant chemotherapy. © 2017 The Author(s). Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
1. Introduction
1.2. Clinical findings
Metaplastic breast carcinoma (MBC) is a heterogeneous group of neoplasm which is characterized by a closely related mixture of adenocarcinoma with areas of squamous, spindle, osseous and chondroid differentiation [1]. MBC is a rare type of breast cancer comprising