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Avau F, Chintinne M, Baudry S, Buxant F. Literature review and case report of bilateral intracystic papillary carcinoma associated with an invasive ductal carcinoma in a male breast. Breast Dis 2021; 41:5-13. [PMID: 34219706 DOI: 10.3233/bd-210001] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
Intracystic papillary carcinoma (IPC) is a rare tumor with good prognosis that occurs in only 5% to 7.5% of male breast cancer. We report a case of a 46-year-old man who presented a brown nipple discharge a few months ago. He had a bilateral IPC and an invasive ductal carcinoma on the right breast. A double mastectomy was then performed with a bilateral sentinel lymph node biopsy, and he received chemotherapy, radiotherapy, and hormonotherapy. Two years after the diagnosis, the patient recovered and was free of recurrence. Considering the scarcity of this tumor type, we conducted a systematic literature review on the PubMed of all the cases of IPC in men. The clinical presentation, imaging, and treatment of the 43 case reports from the 41 articles selected were described. Furthermore, no clear guidelines for IPC management are available. Conservative surgery should also be preferred, and a sentinel lymph node biopsy should be performed systematically. Moreover, radiotherapy should be proposed in the case of conservative surgery, and hormone therapy could be proposed in the case of invasive IPC or IPC associated with a ductal carcinoma in situ.
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Affiliation(s)
- Fiona Avau
- Obstetrics and Gynecology, Hôpitaux Iris Sud HIS, Brussels, Belgium
| | | | - Sarah Baudry
- Radiology, Hôpitaux Iris Sud HIS, Brussels, Belgium
| | - Frédéric Buxant
- Obstetrics and Gynecology, Hôpitaux Iris Sud HIS, Brussels, Belgium
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Speer ME, Adrada BE, Arribas EM, Hess KR, Middleton LP, Whitman GJ. Imaging of Intracystic Papillary Carcinoma. Curr Probl Diagn Radiol 2019; 48:348-352. [DOI: 10.1067/j.cpradiol.2018.05.001] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2018] [Accepted: 05/17/2018] [Indexed: 11/22/2022]
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Yılmaz R, Cömert RG, Aliyev S, Toktaş Y, Önder S, Emirikçi S, Özmen V. Encapsulated Papillary Carcinoma in A Man with Gynecomastia: Ultrasonography, Mammography and Magnetic Resonance Imaging Features with Pathologic Correlation. Eur J Breast Health 2018; 14:127-131. [PMID: 29774323 DOI: 10.5152/ejbh.2018.3761] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2017] [Accepted: 11/28/2017] [Indexed: 01/28/2023]
Abstract
Male breast cancer is an uncommon disease that constitutes 1% of all breast cancers and encapsulated papillary carcinoma (EPC) is a rare subtype of malignant male diseases. Gynecomastia is the most common disease of the male breast. We report a 63-year-old male patient with EPC accompanied by gynecomastia that was diagnosed and treated at our breast center. Mammography showed an oval-shaped dense mass with circumscribed margins on the ground of nodular gynecomastia. On ultrasonographic exam, we saw a well-circumscribed complex mass with a solid component which was vascular on Doppler ultrasonography. Magnetic resonance imaging revealed a complex cystic mass containing solid components. Dynamic images showed enhancement of the cystic mass wall and mural components. Tumor stage was evaluated as T2N0. The lesion's histologic examination and immunohistochemical analysis by showing no myoepithelial layer revealed an encapsulated papillary carcinoma. To our knowledge, this is the first case report which describes MR imaging findings of male breast encapsulated papillary cancer.
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Affiliation(s)
- Ravza Yılmaz
- Department of Radiology, İstanbul University, İstanbul School of Medicine, İstanbul, Turkey
| | - Rana Günöz Cömert
- Department of Radiology, İstanbul University, İstanbul School of Medicine, İstanbul, Turkey
| | - Samil Aliyev
- Department of Radiology, İstanbul University, İstanbul School of Medicine, İstanbul, Turkey
| | - Yücel Toktaş
- Department of Radiology, İstanbul University, İstanbul School of Medicine, İstanbul, Turkey
| | - Semen Önder
- Department of Pathology, İstanbul University, İstanbul School culty of Medicine, İstanbul, Turkey
| | - Selman Emirikçi
- Department of Surgery, İstanbul University, İstanbul School of Medicine, İstanbul, Turkey
| | - Vahit Özmen
- Department of Surgery, İstanbul University, İstanbul School of Medicine, İstanbul, Turkey
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Encapsulated papillary carcinoma of the breast: A clinicopathological study of 49 cases. Curr Probl Cancer 2018; 42:291-301. [PMID: 29731165 DOI: 10.1016/j.currproblcancer.2018.03.005] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2018] [Accepted: 03/26/2018] [Indexed: 01/29/2023]
Abstract
BACKGROUND Encapsulated papillary carcinoma (EPC) has been considered as a variant of ductal carcinoma in situ. Recent studies suggest that EPC could be invasive, as it often lacks myoepithelial cells (MECs) at their periphery. The current study was performed to investigate the biological features of EPC. METHODS Forty-nine EPC patients admitted to the Tai׳an Central Hospital and Qilu Hospital of Shandong University from January 2004-December 2014 were included in this study. We retrospectively analyzed the clinicopathological findings, the presence and distribution of MECs, as well as the outcomes. RESULTS The mean age at diagnosis was 68.5 years. The mean tumor size was 2.0 cm. MECs were completely absent in all the 49 cases. Most tumors were estrogen receptor and progesterone receptor positive (95.9%). Human epidermal growth factor receptor 2 1+ immunoreactivity was seen in only 8 cases. Twenty-five patients underwent lumpectomy and 24 underwent mastectomy. Thirty-nine received evaluation of lymph node (LN), and 3 (7.7%) patients had LN involvement. Follow-up information was available in 29 patients (8-104 months, mean 47 months), among which 5 developed local recurrences and 2 distant metastases. CONCLUSION EPC is an indolent invasive carcinoma with biological features between in ductal carcinoma in situ and invasive carcinoma, with predominance of the latter. EPC rarely showed LN involvement and was characterized by favorable prognosis. EPC can be treated with adequate local therapy and hormonal therapy, whereas the benefit of radiation after lumpectomy remains uncertain.
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Mastoraki A, Papadoliopoulou M, Konstantiadou I, Mastoraki S, Danias N, Arkadopoulos N. Giant Intracystic Papillary Carcinoma of the Breast Report of a Case and Review of the Literature. J Gynecol Surg 2017. [DOI: 10.1089/gyn.2016.0110] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- Aikaterini Mastoraki
- 4th Department of Surgery, Athens University Medical School, ATTIKON University Hospital, Chaidari, Athens, Greece
| | - Maria Papadoliopoulou
- 4th Department of Surgery, Athens University Medical School, ATTIKON University Hospital, Chaidari, Athens, Greece
| | - Ioanna Konstantiadou
- 4th Department of Surgery, Athens University Medical School, ATTIKON University Hospital, Chaidari, Athens, Greece
| | - Sotiria Mastoraki
- 4th Department of Surgery, Athens University Medical School, ATTIKON University Hospital, Chaidari, Athens, Greece
| | - Nikolaos Danias
- 4th Department of Surgery, Athens University Medical School, ATTIKON University Hospital, Chaidari, Athens, Greece
| | - Nikolaos Arkadopoulos
- 4th Department of Surgery, Athens University Medical School, ATTIKON University Hospital, Chaidari, Athens, Greece
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Diagnosis of Intracystic Papillary Carcinoma of the Breast by Preoperative Core Needle Biopsy: A Case Report. Int Surg 2017. [DOI: 10.9738/intsurg-d-15-00107.1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Intracystic papillary carcinoma (ICPC) of the breast is rare. It is categorized as noninfiltrating papillary ductal carcinoma in situ (DCIS). It protrudes and grows into the inner cavity in a papillary form, usually unaccompanied by severe infiltration in the surrounding interstitium. ICPC is often a noninfiltrating carcinoma and differentiating it from benign intracystic papilloma is difficult using preoperative imaging alone. Therefore, deciding on a treatment policy is often difficult. For correct diagnosis, it is vital to perform fine needle aspiration (FNA) or core needle biopsy (CNB) of the intracystic solid part accurately and under ultrasound guidance. However, the rate of accurate diagnosis by FNA cytology is low, and diagnosis by CNB is reported to be more effective than cytology. CNB of the solid part of a cyst for preoperative diagnosis is difficult and has a sensitivity of 60%. There is also a report stating that preoperative diagnosis could not be obtained in 40% of patients with ICPC. Therefore, biopsy by resection should be considered in patients who cannot be diagnosed by either FNA or CNB. However, DCIS had better be preoperatively diagnosed because not only axillary lymph node dissection but also sentinel lymph node biopsy might be omitted. The patient was a 42-year-old woman. She found a tumor mass in the left inner breast 10 weeks before her initial visit to the author's clinic. It was difficult to differentiate between the benignity or malignancy of the tumor from images, but a diagnosis of ICPC was made using preoperative CNB.
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Agrawal R, Mohan N, Bisht M, Kumar P. Cytodiagnosis of papillary carcinoma of the male breast: Report of a case with histological correlation. J Cytol 2017; 34:110-112. [PMID: 28469321 PMCID: PMC5398017 DOI: 10.4103/0970-9371.203572] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023] Open
Abstract
Papillary lesions of the breast pose great diagnostic challenges on fine needle aspiration cytology (FNAC) due to overlapping features between benign and malignant entities. Preoperative cytodiagnosis is difficult. We present a case of a 52-year-old male who presented with a progressively increasing firm swelling in the left breast for 3 years. The nipple was eroded with ulceration and bleeding. Ultrasonography (USG) revealed a mass measuring 2.9 cm × 1.5 cm in the left breast. FNAC smears were hypercellular with ductal cells arranged in papillae and glandular clusters. At places, the cells had irregular nuclear membrane, prominent nucleoli, fine chromatin, scanty-to-moderate cytoplasm, and high nuclear-cytoplasmic ratio with pleomorphism. Histopathology of the excised swelling was consistent with intracystic papillary carcinoma (IPC) supported with immunohistochemistry markers. The case is being presented due to its rarity.
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Affiliation(s)
- Ranjan Agrawal
- Department of Pathology, Rohilkhand Medical College Hospital, Bareilly, Uttar Pradesh, India
| | - Nitesh Mohan
- Department of Pathology, Rohilkhand Medical College Hospital, Bareilly, Uttar Pradesh, India
| | - Mithila Bisht
- Department of Pathology, Rohilkhand Medical College Hospital, Bareilly, Uttar Pradesh, India
| | - Parbodh Kumar
- Department of Pathology, Rohilkhand Medical College Hospital, Bareilly, Uttar Pradesh, India
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Ingle SB, Murdeshwar HG, Siddiqui S. Papillary carcinoma of breast: Minireview. World J Clin Cases 2016; 4:20-24. [PMID: 26798627 PMCID: PMC4714291 DOI: 10.12998/wjcc.v4.i1.20] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/26/2015] [Revised: 08/20/2015] [Accepted: 11/04/2015] [Indexed: 02/05/2023] Open
Abstract
The term “intracystic papillary ductal carcinoma in situ” constitutes only 0.5% to 1% of all breast cancers. It is usually seen in postmenopausal age group. Herein, we are presenting a minireview about this unusual breast malignancy usually difficult to diagnose on clinical grounds and highlighting modalities of diagnosis and management.
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Al Salloom AAM. Intracystic Papillary Carcinoma in Male Breast with High Nuclear Grade: A Case Report. J Clin Diagn Res 2015; 9:ED04-5. [PMID: 26435954 DOI: 10.7860/jcdr/2015/13909.6299] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2015] [Accepted: 06/12/2015] [Indexed: 12/12/2022]
Abstract
Intracystic papillary carcinoma (IPC) in men is an extremely rare disease that accounts for less than 1% of all malignancies with only a few case presentations published so far. This report presents a case of 53-year-old male, who presented a painless swelling of his left breast. The left breast mass was 6 cm maximally and was found to be non-invasive IPC. The tumour is consistently positive for GCDFP-15, ER or PR and negative for HER-2. It consists of predominantly fibrovascular stromal lined by monotonous epithelial cells retaining intermediate to high histological grade with a high nuclear cytoplasmic ratio. In addition, increased numbers of mitotic figures were also seen. Chest X-ray, liver ultrasound and bone centigram showed no evidence of distant metastases. In short, this is the first case report from Saudi Arabia of a male having IPC, with increased number of mitotic figures and high nuclear grades.
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Affiliation(s)
- Abdulaziz Ajlan M Al Salloom
- Consultand and Assistant Professor, Department of Pathology, College of Medicine, Qassim University , Buraidah, KSA, Saudi Arabia
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İlhan E, Üreyen O, Şenlikci A, Yağcı A, Yeldan E, Salman T, Tekeli MT. Intracystic Carcinoma of the Breast: Report of Two Cases. THE JOURNAL OF BREAST HEALTH 2015; 11:45-47. [PMID: 28331690 DOI: 10.5152/tjbh.2014.2006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/20/2013] [Accepted: 03/16/2014] [Indexed: 01/19/2023]
Abstract
Intracystic papillary carcinoma of the breast (IPC) is usually seen in postmenopausal elderly women. Its prognosis is much better than other type of breast tumors, and usually do not contain invasive components. Surgical excision with negative margins and axillary sentinel lymph node sampling is the recommended treatment. Two cases of intracystic papillary carcinoma of the breast that was treated at our clinic are herein presented. Both cases were postmenopausal, were both positive for estrogen and progesterone receptors and negative for HER 2. They underwent breast-conserving surgery. One patient had an invasive focus, therefore axillary lymph node sampling was performed, and the sentinel lymph node was not metastatic. This patient received hormonal therapy as well as radiotherapy. In the other case, there was no invasive focus and the surgical margins were negative, therefore, additional surgery was not performed. The patient is receiving hormonal therapy. Intracystic carcinoma of the breast should be kept in mind especially in elderly patients with breast cysts, with clinically or radiologically suspicious features, and biopsy and local excision should be considered. Although there is not any standard approach for patients with IPC, each patient must be evaluated for surgery and should be individually assessed in terms of adjuvant therapy.
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Affiliation(s)
- Enver İlhan
- Clinic of General Surgery, İzmir Training and Research Hospital, İzmir, Turkey
| | - Orhan Üreyen
- Clinic of General Surgery, İzmir Training and Research Hospital, İzmir, Turkey
| | - Abdullah Şenlikci
- Clinic of General Surgery, İzmir Training and Research Hospital, İzmir, Turkey
| | - Ayşe Yağcı
- Clinic of Pathology, İzmir Bozyaka Training and Research Hospital, İzmir, Turkey
| | - Eyüp Yeldan
- Clinic of General Surgery, İzmir Training and Research Hospital, İzmir, Turkey
| | - Tarık Salman
- Medical Oncology Service, İzmir Bozyaka Training and Research Hospital, İzmir, Turkey
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12
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Madhukar M, Chetlen A. Multimodality imaging of benign and malignant male breast disease. Clin Radiol 2013; 68:e698-706. [DOI: 10.1016/j.crad.2013.07.007] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2013] [Revised: 07/09/2013] [Accepted: 07/10/2013] [Indexed: 10/26/2022]
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Intracystic papillary carcinoma of the breast: report of three cases and literature review. Case Rep Obstet Gynecol 2012; 2012:979563. [PMID: 22567530 PMCID: PMC3335648 DOI: 10.1155/2012/979563] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2011] [Accepted: 11/20/2011] [Indexed: 01/13/2023] Open
Abstract
Intracystic papillary carcinoma is a rare malignant tumor of the breast. It occurs communally in postmenopausal women. Clinically it can be asymptomatic or manifested by a breast mass or a nipple discharge. On imaging intracystic papillary carcinoma has usually benign features. Pathologic diagnosis can be difficult at classical histological examination and identification of myoepithelial cells layer by immunohistochemical study can be useful. In the majority of cases of pure intracystic papillary carcinoma, conservative management is possible. Adjuvant therapy is still controversial and prognosis is excellent. We report three cases of intracystic papillary carcinoma diagnosed on immunohistochemical examination and managed with conservative surgery.
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Kizilarslanoglu MC, Gezgen G, Roach EC, Altundag K. Intracystic Papillary Carcinoma: A Rare Clinical Entity. Am Surg 2011. [DOI: 10.1177/000313481107701211] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
| | - Gamze Gezgen
- Department of Medical Oncology Hacettepe University Institute of Oncology Ankara, Turkey
| | - Emir C. Roach
- Department of Medical Oncology Hacettepe University Institute of Oncology Ankara, Turkey
| | - Kadri Altundag
- Department of Medical Oncology Hacettepe University Institute of Oncology Ankara, Turkey
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15
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Kitada M, Hayashi S, Matsuda Y, Sato K, Miyokawa N, Sasajima T. Surgical treatment of intracystic carcinoma of the breast. World J Surg Oncol 2011; 9:116. [PMID: 21970587 PMCID: PMC3204257 DOI: 10.1186/1477-7819-9-116] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2011] [Accepted: 10/04/2011] [Indexed: 01/31/2023] Open
Abstract
BACKGROUND Intracystic carcinoma of the breast is a type of breast cancer with favorable prognosis where cancer arises from the cystic wall. However, it is a relatively rare disease, and no general consensus has been reached on its definition, including pathogenesis, extramural invasion, and lymph node metastasis. METHODS Six patients who underwent surgery at the Department of Surgery at Asahikawa Medical University are presented. In each patient, background factors, diagnosis, surgery, pathological diagnosis, and prognosis were investigated. RESULTS Fine needle aspiration showed class V disease in three patients and class III disease in the other three, and lumpectomy was performed for class III patients. Three patients underwent breast-conserving surgery While extramural invasion was seen in three patients, lymph node metastasis was absent in all patients. CONCLUSION When it is difficult to diagnose intracystic carcinoma of the breast by fine needle aspiration, active lumpectomy is necessary. Because extramural invasion and lymph node metastasis have been reported, it is necessary to carefully determine the range of excision and rationally perform lymph node dissection, such as sentinel node biopsy.
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Affiliation(s)
- Masahiro Kitada
- Department of Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan
| | - Satoshi Hayashi
- Department of Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan
| | - Yoshinari Matsuda
- Department of Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan
| | - Kazuhiro Sato
- Department of Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan
| | - Naoyuki Miyokawa
- Department of Clinical Pathology, Asahikawa Medical University, Asahikawa, Hokkaido, Japan
| | - Tadahiro Sasajima
- Department of Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan
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Rodríguez MCH, Secades AL, Angulo JM. Best cases from the AFIP: intracystic papillary carcinoma of the breast. Radiographics 2011; 30:2021-7. [PMID: 21057133 DOI: 10.1148/rg.307105003] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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Papillary carcinoma of the male breast: Report of a case. Surg Today 2011; 41:537-41. [DOI: 10.1007/s00595-009-4312-2] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2009] [Accepted: 10/05/2009] [Indexed: 12/17/2022]
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Kiyoto S, Sugawara Y, Inoue T, Takabatake D, Ohsumi S, Nishimura R. False-positive (18)F-fluorodeoxyglucose positron emission tomography/computed tomography caused by incidental injury in a bulky intracystic carcinoma of the breast. Jpn J Radiol 2010; 28:305-8. [PMID: 20512549 DOI: 10.1007/s11604-009-0417-1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2009] [Accepted: 12/27/2009] [Indexed: 11/28/2022]
Abstract
We present a case of right intracystic carcinoma of the breast. An 83-year-old woman was seen at our hospital with a growing bulky mass in the right breast for the last 2 years. Whole-body fluorine-18 fluorodeoxyglucose positron emission tomography and computed tomography ((18)F-FDG-PET/CT) was performed 15 days after mammography (MMG). (18)F-FDGPET/CT showed a right bulky cystic mass and intense FDG uptake in the intracystic nodules as well as in the adjacent extracystic lesion and the underlying pectoralis major muscle. It suggested tumor invasion of the pectoralis major muscle. Right mastectomy combined with partial resection of adherent pectoral muscle was performed. The main cystic lesion was diagnosed to be solid-papillary carcinoma, but the area of the pectoralis muscle was diagnosed to be a "foreign body" inflammation. It was thought that the compression related to MMG and core needle biopsy induced an injury in the bulky breast mass with leakage of contents into adjacent tissue, resulting in the foreign body inflammation. In conclusion, the coexisting foreign body inflammation was responsible for a false-positive (18)F-FDG-PET/CT scan in the current case.
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Affiliation(s)
- Sachiko Kiyoto
- Department of Breast Oncology, Shikoku Cancer Center, 160 Minamiumemoto, Matsuyama, 791-0280, Japan.
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Baykara M, Coskun U, Demirci U, Yildiz R, Benekli M, Cakir A, Buyukberber S. Intracystic papillary carcinoma of the breast: one of the youngest patient in the literature. Med Oncol 2009; 27:1427-8. [PMID: 19680826 DOI: 10.1007/s12032-009-9290-0] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2009] [Accepted: 08/05/2009] [Indexed: 12/14/2022]
Affiliation(s)
- Meltem Baykara
- Department of Medical Oncology SD, Gazi University Medical School, Besevler, Ankara 06500, Turkey
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