Intracystic papillary carcinoma associated with ductal carcinoma in situ in a male breast: a case report

Sami Aziz Brahmi,Kawtar Znati,Siham Tizniti,Yusra Akesbi,Fatema Zahra El M'Rabet,Amal Benlemlih,Fatemi El Hind,Omar El Mesbahi,Naima Tbaili,Afaf Amarti,Mustapha Maaroufi,Zineb Benbrahim

doi:10.4076/1757-1626-2-7260

Sami Aziz Brahmi, Kawtar Znati + Show 10 more

Open Access

https://doi.org/10.4076/1757-1626-2-7260

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Abstract

IntroductionIntracystic papillary carcinoma represents a small distinctive subgroup of noninvasive breast cancer, accounts for <0.5% of breast malignancies and is extremely rare in men, it was originally reported as a localized non-invasive carcinoma, but is usually associated with ductal carcinoma in situ around the main tumor or invasive carcinoma.Case presentationWe report a case of 50-year-old man with intracystic papillary carcinoma in man with ductal carcinoma in situ who underwent a tumorectomy following by a radical Patey intervention (Halsted).ConclusionNowadays, there is still no clear consensus regarding optimal treatment of intracystic papillary carcinoma. Most papers reinforce the importance of an adequate surgical margin in conservative treatment. Surgeons must pay much attention to the potential for ductal carcinoma in situ around the tumor when selecting the operative procedure.

Highlights

Introduction: Intracystic papillary carcinoma represents a small distinctive subgroup of noninvasive breast cancer, accounts for
Case presentation: We report a case of 50-year-old man with intracystic papillary carcinoma in man with ductal carcinoma in situ who underwent a tumorectomy following by a radical Patey intervention (Halsted)
Most papers reinforce the importance of an adequate surgical margin in conservative treatment

Summary

Introduction

Male breast cancer is a rare disease and the incidence is 1% of all breast cancer [1]. Case presentation In this report, we present a rare case of a Moroccan, 50-year-old Arabic man He presented with a 2-month history of a small mass located in the left retroareolar region of the breast and visited a community hospital where he underwent a tumorectomy. Lowpower photomicrograph of a histopathologic specimen showed fibrotic cyst wall and papillary proliferation (Figure 1), high-power photomicrograph showed a papillary frond with a fibrovascular core, the epithelial cells are pleomorphic (Figure 2) and the final diagnosis was intracystic papillary carcinoma, intermediate grade. Both estrogen receptor and progesterone receptor were positive. No further treatment was performed, and the patient has remained well for 7 months without any signs of tumor recurrence

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