乳腺神经内分泌癌3例临床病理分析及文献复习
Clinicopathologic analysis of three cases with breast neuroendocrine carcinoma and review of the literature
-
摘要: 目的:探讨乳腺神经内分泌癌的临床病理特点。方法:对3例乳腺神经内分泌癌进行组织学观察和免疫组织化学染色,并复习相关文献。结果:3例均为女性,发病年龄47~57岁。肿块大小1.5~4.5 cm。组织学形态包括:实体性2例,小细胞/雀麦细胞癌1例。3例突触素表达阳性,而嗜铬颗粒蛋白A、细胞角蛋白、神经细胞黏附分子1各在2例中表达阳性。1例小细胞癌患者死亡,另2例患者均生存。结论:乳腺神经内分泌癌是乳腺癌的一种罕见类型,诊断主要依靠病理组织学检查及免疫组织化学染色。Abstract: Objective:To investigate the clinicopathologic characteristics of breast neuroendocrine carcinoma.Methods:The breast neuroendocrine carcinoma tissue of 3 cases were examined by histopathology and immunohistochemistry and relevant literatures were reviewed.Results:Three female cases with 1.5 to 4.5 cm of tumor sizes in diameter were 47 to 57 years old.The morphological types of these tumors included solid carcinoma in 2 cases and small cell carcinoma in 1 case.The synaptophysin expression of tumor cells of all cases were stained positive,but the positive expression of chromogranin,cytokeratin and NCAM1 of tumor cells of 2 cases were verified.Two cases were alive except one cases death from small cell carcinoma.Conclusions:The breast neuroendocrine carcinoma is a rare type of the breast carcinoma,whose diagnosis should mainly rely on the pathological and histological examination.