Patient with ulcerated papillary breast carcinoma

Authors

Keywords:

infiltrating ductal carcinoma, mastectomy, breast neoplasms.

Abstract

Introduction: Breast cancer is the main cause of death from neoplasms in women between 45 and 65 years of age. Although papillary breast lesions are rare, this case presents an unusual variant: An ulcerated papillary carcinoma, which highlights the importance of early detection for timely diagnosis and treatment. The rarity of ulceration in this type of cancer is explored.
Objective: To describe a clinical case of an ulcerated papillary tumor of the breast.
Clinical Case: An 84-year-old female patient with a history of high blood pressure went to the mastology clinic where a palpable 8 cm mass was detected that was ulcerated, bleeding and had changes in skin color. Imaging studies confirmed a 7 x 6 cm tumor. A modified radical mastectomy and lymph node dissection was performed; the pathological report revealed a papillary carcinoma with infiltrative axillary lymphadenopathy. The patient had a satisfactory evolution.
Conclusions: Papillary lesions of the breast are rare; early detection is key in the diagnosis and treatment of breast cancer.

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References

1. Ferlay J, Ervik M, Lam F, Laversanne M, Colombet M, Mery L, et al. Global Cancer Observatory: Cancer Today [Internet]. Lyon, France: International Agency for Research on Cancer. 2024. [acceso: 23/03/2023]. Disponible en: https://gco.iarc.who.int/media/globocan/factsheets/cancers/20-breast-fact-sheet.pdf

2. Dyba T, Randi G, Bray F, Negrao Carvalho R, Ferlay J, Bettio M, et al. The European cancer burden in 2020: Incidence and mortality estimates for 40 countries and 25 major cancers [Internet]. EJC. 2021 [acceso: 26/03/2023]; 157:308-47. Disponible en: https://www.ejcancer.com/article/S0959-8049(21)00497-4/fulltext

3. Cuba. Ministerio de Salud Pública. Anuario Estadístico de Salud 2022 [Internet]. Cuba, La Habana; 2023 [acceso: 13/08/2024]. Disponible en: https://instituciones.sld.cu/ucmvc/files/2023/10/Anuario-Estad%C3%ADstico-de-Salud-2022-Ed-2023.pdf

4. Martínez Navarro J, Rodríguez Pino M, Martínez Navarro V, Fumero Roldán L. Carcinoma papilar invasor de la mama. Presentación de un caso [Internet]. Medisur 2017 [acceso: 13/08/2024]; 15(4): 550-6. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1727-897X2017000400015

5. Pons Rodríguez A, Marzo Castillejo M, Cruz Esteve I, Galindo Ortego G, Hernández Leal MJ, Rué M. Avances hacia el cribado personalizado del cáncer de mama: el papel de la Atención Primaria [Internet]. Aten Primaria. 2022 [acceso: 26/03/2023]; 54(5):102288. Disponible en: https://www.sciencedirect.com/science/article/pii/S0212656722000087

6. Negrete-Moreno A, Gómez-Martínez V, Dávila-Villada MS, Monroy-Martínez MA. Percepción de calidad de vida de pacientes hospitalizados con diagnóstico primario de cáncer y herida tumoral [Internet]. Rev Enferm Inst Mex Seguro Soc. 2023 [acceso: 13/08/2024]; 31(3):77-82. Disponible en: https://docs.bvsalud.org/biblioref/2023/12/1518833/1322-7751-1-pb.pdf

7. Bavastro M, Torrez Monrroy K, Castiglioni T, Ulloa AL, Levit C. Lesiones papilares malignas de la mama: nuestra experiencia [Internet]. Rev SAM. 2018 [acceso: 26/03/2023]; 37(135):9-18. Disponible en: https://www.revistasamas.org.ar/revistas/2018_v37_n135/04.pdf

8. Vintimilla Y, Erráez P. Caso Clínico: Carcinoma Papilar Sólido de Mama [Internet]. Rev Med HJCA. 2018; 10(2):179-83. DOI: 10.14410/2018.10.2.cc.29

9. Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries [Internet]. CA Cancer J Clin. 2021; 71(3):209-49. DOI: 10.3322/caac.21660

10. Torralbas Fitz A, Oropeza Sanabria A, González Puig A. Carcinoma papilar de la mama [Internet]. Rev Calixto. 2022 [acceso: 26/03/2023]; 10(3):e1019. Disponible en: https://revcalixto.sld.cu/index.php/ahcg/article/view/1019

11. Bonilla Sepúlveda ÓA. Lesiones papilares de mama: estudio clínico-patológico y sobre pronóstico en 144 casos de Medellín, Colombia [Internet]. Med UPB. 2021 [acceso: 26/03/2023]; 40(2):2-12. Disponible en: https://revistas.upb.edu.co/index.php/medicina/article/download/7317/6678

12. Arias Aliaga A, Vargas Oliva J, Fernández Gómez A. Resultados del tratamiento quirúrgico en pacientes con diagnóstico de cáncer de mama [Internet]. MULTIMED. 2020 [acceso: 26/03/2023]; 24:e1852. Disponible en: https://revmultimed.sld.cu/index.php/mtm/article/view/1852

13. Cabrera Rodríguez CA, Cabrera Nogueira GG, Márquez Remedio LE, Correa Martínez L, Mendive Martínez JL. Cáncer de mama en mujeres pinareñas menores de 45 años, serie cronológica de 23 años [Internet]. Rev Ciencias Médicas. 2019 [acceso: 26/03/2023]; 23(6):827-35. Disponible en: http://scielo.sld.cu/scielo.php?pid=S156131942019000600827&script=sci_a-rttext&tlng=pt

Published

2024-08-31

How to Cite

1.
González Baigorría L, Tarife Romero IE, Abreu Pereira LM, Herrero Díaz A. Patient with ulcerated papillary breast carcinoma. Rev Cubana Med Milit [Internet]. 2024 Aug. 31 [cited 2025 Apr. 2];53(3):e024039408. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/39408

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Section

Case Presentation