RESUMO
INTRODUCTION: A granular cell tumor involving the breast parenchyma was first described by Abrikossoff in 1931. Localization of this lesion to the breast is very rare, accounting for between 5% and 15% of all granular cell tumor cases. We present this case because of the rarity of this tumor. It is frequently confused with breast carcinoma on clinical and radiological examination, and its diagnosis can therefore be challenging for clinicians, radiologists and pathologists. CASE PRESENTATION: We report the case of a 32-year-old Moroccan woman who presented with a palpable mass in her right breast. Mammography and ultrasound examination revealed a heterogeneous, irregular and poorly limited mass, located at the union of the outer quadrants of her right breast. The mass was in contact with her latissimus dorsi and suspicious for malignancy. A histological examination combined with immunohistochemical study revealed it to be a granular cell tumor. CONCLUSION: Although a granular cell tumor of the breast is a rare breast neoplasm, it should be considered in the differential diagnosis of benign and malignant lesions. Pathologists should bear in mind a granular cell tumor when examining material containing cells with abundant granular cytoplasm to avoid misdiagnosing breast carcinoma, which could lead to unnecessary surgery.
Assuntos
Neoplasias da Mama/patologia , Tumor de Células Granulares/patologia , Mamografia , Ultrassonografia Mamária , Adulto , Neoplasias da Mama/cirurgia , Diagnóstico Diferencial , Feminino , Tumor de Células Granulares/cirurgia , Humanos , Imuno-Histoquímica , Resultado do Tratamento , Procedimentos DesnecessáriosRESUMO
INTRODUCTION: To describe the epidemiological and pathological aspects of gastrointestinal cancers in Fez-Boulemane. METHODS: This was a retrospective descriptive study of 1120 gastrointestinal cancers diagnosed between 2004 and 2010 in the department of Pathology of Hassan II University Hospital in Fez Morocco. RESULTS: The average age of our patients was 53 years with a male predominance in 52% of cases. Digestive cancers in this study are distinguished by the predominance of colorectal and stomach location. CONCLUSION: Gastrointestinal cancers are the most frequent cancer in our region. An epidemiological monitoring program is needed.