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Secretory breast carcinoma in a male child: Case report and literature review

Authors
  • Novochadlo Klüppel, Elis1
  • Rodrigues da Costa, Luiza1
  • Marquetto Tognolo, Carolina2
  • do Nascimento, Alexandre3
  • Grignet Ribeiro, Melyssa3
  • Girardi Fachin, Camila2
  • 1 Medical School, Federal University of Paraná, Curitiba, PR, Brazil
  • 2 Pediatric Surgery, Hospital de Clínicas, Federal University of Paraná, Curitiba, PR, Brazil
  • 3 Pathology Department, Hospital de Clínicas, Federal University of Paraná, Curitiba, PR, Brazil
Type
Published Article
Journal
International Journal of Surgery Case Reports
Publisher
Elsevier
Publication Date
Jul 16, 2020
Volume
73
Pages
310–314
Identifiers
DOI: 10.1016/j.ijscr.2020.07.040
PMID: 32736235
PMCID: PMC7394736
Source
PubMed Central
Keywords
License
Unknown

Abstract

Introduction The secretory breast carcinoma is very rare in children. It represents less than 1% of malignancy cases in childhood and is even less common in males, with 15 cases reported until 2004. Therefore, the aim of this study is to report a male child with breast carcinoma and review literature. Presentation of case A 14-year-old male patient with a history of a painless slow-growing lump in the left breast and, five years later, onset of yellow discharge from the papilla. Ultrasound scanning demonstrated a well- defined, regular, homogeneous and hypoechoic mass. Nodule excision was initially performed, followed by mastectomy, due to compromised radial margin. Immunohistochemistry revealed weakly positive estrogen and progesterone receptors. Adjuvant therapy was not required. Sixteen months after resection, the patient is well with no complaints or recurrence. Discussion Due to its rarity, there is no therapeutic guideline. Although the recommended treatment is still surgical excision, there is no consensus as to its extent. Prognosis is usually favorable. Our patient was submitted to mastectomy with sentinel lymph node biopsy due to compromised radial margin. Conclusion Secretory breast carcinoma is a rare form of breast cancer, especially in male children; which hampers standardization of diagnosis, treatment and prognosis establishment.

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