Abstract

Mammary sarcomas are uncommon tumors. When tumors like malignant cystosarcomaphyllodes and metaplastic carcinoma, where malignant cartilaginous areas may be present, are excluded, only nine cases have been reported to date.We report another case of primary chondrosarcoma of the breast here. A 24-year-old Mediterranean woman presented with a painful mass in the right breast and a physical examination revealed a palpable mass. An incisional biopsy was performed and primary chondrosarcoma was diagnosed based on histological examination. Our patient underwent a mastectomy. A preoperative clinical and cytological diagnosis of chondrosarcoma, even though possible in a few cases, is usually not attained due to its similarclinical behavior with other breast tumors.

Highlights

  • These are rare tumors that must be considered in the differential diagnosis of breast tumors when chondrosarcomatous areas are involved

  • It is important that they are recognized as a separate entity from the more common breast carcinomas and the difference in behavior of these two tumors is taken into accountwhen planning therapy

  • A final diagnosis of chondrosarcoma of the breast was made with the absence of phyllodes tumor or carcinoma in the whole tumor

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Summary

Background

Pure sarcomas are very uncommon tumors of the breast, representing about 0.5% of all mammary tumors. These are rare tumors that must be considered in the differential diagnosis of breast tumors when chondrosarcomatous areas are involved. A physical examination revealed a palpable mass in her right breast measuring 10 mm to 15 mm in size, not fixed to underlying tissues and not involving the overlying skin. Her contralateral breast and axilla were normal on clinical examination. An incisional biopsy was performed and the histological examination showed abundant cartilaginous proliferation

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