A case of encapsulated papillary carcinoma of the breast treated with emergency surgery due to sudden hemorrhage.
Int J Surg Case Rep
; 65: 201-204, 2019.
Article
em En
| MEDLINE
| ID: mdl-31731082
ABSTRACT
INTRODUCTION:
Emergency surgery is rare in management of breast cancer. We report a case of encapsulated papillary carcinoma (EPC) of the breast where emergency surgery was performed because of unsuccessful control of hemorrhage. PRESENTATION OF CASE A 62-year-old woman visited our hospital complaining of sudden bleeding from the right breast. She had been aware of the tumor for a year, but had left it unattended. It had been increasing in size rapidly for a few days before presentation. Computed tomography showed a hypervascular cystic tumor 9â¯cm in diameter. Bleeding was observed from a skin breach in the right breast, from which a clot was removed and the wound compressed with gauze. We attempted unsuccessfully to control the hemorrhage over the next 3 days, but the patient became anemic, so emergency surgery was performed to control the bleeding. Histopathology revealed the tumor as estrogen receptor- and progesterone receptor-positive EPC, with a human epidermal growth factor receptor 2 score of 0.DISCUSSION:
There have been only 5 reports of breast cancer treated with emergency surgery. EPC was previously considered an in situ lesion, but the lack of a myoepithelial layer at the lesion's periphery may represent a low grade or indolent form of invasive carcinoma and prognosis is usually good. However, if bleeding into the cyst occurs and hemostasis is difficult, emergency surgery should be considered.CONCLUSION:
Emergency surgery is rare in breast cancer but should always be considered as an option when hemorrhage is not readily controlled.
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MEDLINE
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En
Ano de publicação:
2019
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Article